OrganizationActive
Harrison W. Gollob DMD PA
NPI 1952077208 · Dental Clinic/Center · Melbourne, FL
Harrison W. Gollob DMD PA is a Dental Clinic/Center organization in Melbourne, FL (NPI 1952077208).
Provider details
- NPI number
- 1952077208
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Harrison Gollob, President(404) 319-0919
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Interlachen Rd Ste a
Melbourne, FL 32940-1994
Phone: (404) 319-0919
Street-level locationGet directions
Mailing address
130 Interlachen Rd Ste a
Melbourne, FL 32940-1994
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2021-08-17
- Certified
- 2021-08-10
Frequently asked questions
- What is Harrison W. Gollob DMD PA's NPI number?
- Harrison W. Gollob DMD PA's National Provider Identifier (NPI) is 1952077208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Harrison W. Gollob DMD PA?
- Harrison W. Gollob DMD PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Harrison W. Gollob DMD PA located?
- Harrison W. Gollob DMD PA's practice location on file with NPPES is 130 Interlachen Rd Ste a, Melbourne, FL 32940-1994.
- What is Harrison W. Gollob DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Harrison W. Gollob DMD PA is (404) 319-0919.
- Who is the authorized official for Harrison W. Gollob DMD PA?
- The authorized official listed on Harrison W. Gollob DMD PA's NPPES record is Harrison Gollob, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Harrison W. Gollob DMD PA's NPI active?
- Yes — Harrison W. Gollob DMD PA's NPI (1952077208) is active in the NPPES registry as of the last update on 2021-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.