David Earl Goodman, DDS

General Practice Dentistry · St Louis, MO

Individual Active NPI

NPI number 1033218102

Practice location

10004 Kennerly Rd
Suite 240
St Louis, MO 63128
Phone
(314) 849-3234
Fax
(314) 849-3241

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NPI record

NPI
1033218102
Entity type
Individual (Type 1)
Enumeration date
September 22, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 011279 MO

About Dr. Goodman

David Earl Goodman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10004 Kennerly Rd, Suite 240, St Louis, MO 63128. The NPI number 1033218102 was assigned on September 22, 2006 and the record was last updated on July 8, 2007.

Dr. Goodman lists a license in the registry: #011279 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Earl Goodman, DDS?

The NPI number is 1033218102.

What is the phone number of Dr. Goodman?

The phone number listed for the practice location is (314) 849-3234.

Where is Dr. Goodman located?

10004 Kennerly Rd, Suite 240, St Louis, MO 63128.

What is the taxonomy code for Dr. Goodman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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