Provider Demographics
NPI:1245734599
Name:TOFIGHI, GOLNAZ (DMD)
Entity type:Individual
Prefix:
First Name:GOLNAZ
Middle Name:
Last Name:TOFIGHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:GOLDIE
Other - Middle Name:
Other - Last Name:TOFIGHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1020 BALTIMORE PIKE STE 350
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:920 GERMANTOWN PIKE STE 112
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-7401
Practice Address - Country:US
Practice Address - Phone:610-994-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADR60850666122300000X
NY062378122300000X
PADS0422171223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist