DR. HARRISON WILLIAM GOLLOB D.M.D.
NPI 1891134441
Dentist - General Practice in Melbourne, FL

Q: What is Harrison Gollob's NPI number?

The NPI number for Harrison Gollob is 1891134441. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Harrison Gollob's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Harrison Gollob was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 17, 2013PECOS Enrolled

130 INTERLACHEN RD STE A, MELBOURNE, FL 32940(321) 255-4644 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 13, 2021, Feb 23, 2016 (2 updates tracked since 2016).

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About Dr. Harrison William Gollob D.m.d. NPPES

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

DR. HARRISON WILLIAM GOLLOB D.M.D. (NPI 1891134441) is an individual general practice provider in Melbourne, Florida, licensed in Florida (DN20164) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891134441

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. HARRISON WILLIAM GOLLOBCredential: D.M.D.

Location Address130 INTERLACHEN RD STE AMelbourne, FL 32940-1994

Mailing Address130 Interlachen Rd Ste AMelbourne, FL 32940-1994 · (321) 255-4644

Phone(321) 255-4644

Sole ProprietorNo

Enumeration DateJune 17, 2013

Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1891134441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN20164

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.

130 INTERLACHEN RD STE A, Melbourne, FL 32940

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harrison William Gollob D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

HARRISON W. GOLLOB DMD PA

Clinic/Center (Dental)

130 INTERLACHEN RD STE A
MELBOURNE, FL 32940

Brevard County (404) 319-0919

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 Harrison Gollob's NPI number?

The NPI number for Harrison Gollob is 1891134441. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Harrison Gollob located?

Harrison Gollob practices at 130 Interlachen Rd Ste A, Melbourne, FL 32940. The listed phone number is (321) 255-4644.

What is Harrison Gollob's specialty?

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

Is Harrison Gollob enrolled in Medicare?

Yes. Harrison Gollob is registered in the Medicare PECOS enrollment system.

What insurance does Harrison Gollob accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 9 other insurers list Harrison Gollob 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 Harrison Gollob was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.