Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Harrison W. Gollob DMD PA

Organization Dental Clinic/Center · NPI 1952077208

Harrison W. Gollob DMD PA is a Dental Clinic/Center in Melbourne, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Interlachen Rd Ste A
Melbourne, FL 32940-1994
Phone: (404) 319-0919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1952077208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harrison Gollob — President · (404) 319-0919
NPI enumeratedAugust 17, 2021
Last updated in NPPESAugust 17, 2021
Certification dateAugust 10, 2021
Mailing address130 Interlachen Rd Ste A, Melbourne, FL 32940-1994

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