Provider Demographics
NPI:1871699553
Name:GOLOVAN, NORMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:GOLOVAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28790 CHAGRIN BLVD
Mailing Address - Street 2:300
Mailing Address - City:WOODMERE VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-591-0022
Mailing Address - Fax:216-591-0012
Practice Address - Street 1:28790 CHAGRIN BLVD
Practice Address - Street 2:300
Practice Address - City:WOODMERE VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-591-0022
Practice Address - Fax:216-591-0012
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH115971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice