Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARK GOLDSTEIN DDS
NPI 1144214511
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since August 31, 2005
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149(215) 743-3700(215) 743-3706 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Goldstein Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK GOLDSTEIN DDS (NPI 1144214511) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS18048L) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1144214511
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameMARK GOLDSTEINCredential: DDS
Location Address6404 ROOSEVELT BLVDPhiladelphia, PA 19149-2943
Mailing Address6404 Roosevelt BlvdPhiladelphia, PA 19149-2943 · (215) 743-3700 · Fax (215) 743-3706
Fax(215) 743-3706
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1144214511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PA · DS18048L
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6404 ROOSEVELT BLVD, Philadelphia, PA 19149

Other Identifiers 1

Medicaid00529928PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD, LOWER LEVEL
PHILADELPHIA, PA 19149
Community/Behavioral Health
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Chiropractor
6404 ROOSEVELT BLVD, SUITE 1C
PHILADELPHIA, PA 19149
Dentist (General Practice)
6404 ROOSEVELT BLVD, 2ND FLOOR
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Orthodontics and Dentofacial Orthopedics)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6404 ROOSEVELT BLVD
PHILADELPHIA, PA 19149

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Goldstein's NPI number?

The NPI number for Mark Goldstein is 1144214511. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Mark Goldstein located?

Mark Goldstein practices at 6404 Roosevelt Blvd, Philadelphia, PA 19149. The listed phone number is (215) 743-3700.

What is Mark Goldstein's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mark Goldstein was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.