Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL KEITH GOULSTON, M.D., D.M.D.

Active Sole Proprietor

DR. MICHAEL KEITH GOULSTON, M.D., D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in SOUTH PLAINFIELD, New Jersey. NPI 1992957203 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SOUTH PLAINFIELD, NJ

Registration Details

NPI Number: 1992957203
Provider Type: Individual
Gender: Male
NPI Issued: Oct 17, 2008 (17.864377944705 yrs)
Last Updated: Nov 18, 2014
Licenses: 050810 (NY)

DS037951 (PA)

22D102509200 (NJ)
Sole Proprietor: Yes

Practice Information

Address: 295 DURHAM AVE

SUITE 213

SOUTH PLAINFIELD, NJ, 070802548
Browse NJ providers · Browse ZIP 07080
Phone: 9082220040
Fax: 9082220041
Primary Specialty: Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty: Oral & Maxillofacial Surgery
Additional Specialty: Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in SOUTH PLAINFIELD, NJ

Name	Credential	NPI
DR. ALAN FERRETTI	DDS	1790842326

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.