DR. LEONID GOFMAN D.D.S.
NPI 1265455356
Dentist - General Practice in Philadelphia, PA

Active since July 26, 2006
10890 BUSTLETON AVE, SUITE 107, PHILADELPHIA, PA 19116(215) 677-9910 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leonid Gofman D.d.s. NPPES

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

DR. LEONID GOFMAN D.D.S. (NPI 1265455356) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS028692L) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1265455356
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LEONID GOFMANCredential: D.D.S.
Location Address10890 BUSTLETON AVE, SUITE 107Philadelphia, PA 19116-3313
Mailing Address10890 Bustleton Ave, Suite 107Philadelphia, PA 19116-3313
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1265455356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS028692L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10890 BUSTLETON AVE, Philadelphia, PA 19116

Other Identifiers 1

Medicaid001429794PA

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Home Health
10890 BUSTLETON AVE, STE. 211
PHILADELPHIA, PA 19116
Physical Medicine & Rehabilitation
10890 BUSTLETON AVE, SUITE 103
PHILADELPHIA, PA 19116
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
10890 BUSTLETON AVE, SUITE 100
PHILADELPHIA, PA 19116
Radiology (Diagnostic Radiology)
10890 BUSTLETON AVE, SUITE 204
PHILADELPHIA, PA 19116
Dentist (Periodontics)
10890 BUSTLETON AVE, 205
PHILADELPHIA, PA 19116
Counselor (Mental Health)
10890 BUSTLETON AVE
PHILADELPHIA, PA 19116

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 Leonid Gofman's NPI number?

The NPI number for Leonid Gofman is 1265455356. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Leonid Gofman located?

Leonid Gofman practices at 10890 Bustleton Ave Suite 107, Philadelphia, PA 19116. The listed phone number is (215) 677-9910.

What is Leonid Gofman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Leonid Gofman accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Leonid Gofman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leonid Gofman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.