Daniel T Goodman DDS LLC

General Practice Dentistry · Bolivar, MO

Organization Active NPI

NPI number 1124284658

Practice location

315 E Broadway St
Bolivar, MO 65613
Phone
(417) 326-4113
Fax
(417) 326-4115

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NPI record

NPI
1124284658
Entity type
Organization (Type 2)
Enumeration date
August 4, 2008
Last updated
August 13, 2026
Certified
August 13, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2005015020 MO

Authorized official

Name
Dr. Daniel T Goodman, DDS
Title
Doctor Owner
Phone
(417) 326-4113

About Daniel T Goodman DDS LLC

Daniel T Goodman DDS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 315 E Broadway St, Bolivar, MO 65613. The NPI number 1124284658 was assigned on August 4, 2008 and the record was last updated on August 13, 2026.

Daniel T Goodman DDS LLC lists a license in the registry: #2005015020 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Daniel T Goodman, DDS, Doctor Owner.

Frequently asked questions

What is the NPI number of Daniel T Goodman DDS LLC?

The NPI number is 1124284658.

What is the phone number of Daniel T Goodman DDS LLC?

The phone number listed for the practice location is (417) 326-4113.

Where is Daniel T Goodman DDS LLC located?

315 E Broadway St, Bolivar, MO 65613.

What is the taxonomy code for Daniel T Goodman DDS LLC?

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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