Irwin Goodman

General Practice Dentistry · Hazel Park, MI

Organization Active NPI

NPI number 1205377694

Practice location

23941 John R Rd
Hazel Park, MI 48030-1416
Phone
(248) 547-2055
Fax
(248) 547-0054

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NPI record

NPI
1205377694
Entity type
Organization (Type 2)
Enumeration date
March 17, 2017
Last updated
March 17, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14084 MI

Authorized official

Name
Dr. Irwin Arnold Goodman, DDS
Title
Dentist
Phone
(248) 547-2055

About Irwin Goodman

Irwin Goodman is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 23941 John R Rd, Hazel Park, MI 48030-1416. The NPI number 1205377694 was assigned on March 17, 2017 and the record was last updated on March 17, 2017.

Irwin Goodman lists a license in the registry: #14084 (MI) 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. Irwin Arnold Goodman, DDS, Dentist.

Frequently asked questions

What is the NPI number of Irwin Goodman?

The NPI number is 1205377694.

What is the phone number of Irwin Goodman?

The phone number listed for the practice location is (248) 547-2055.

Where is Irwin Goodman located?

23941 John R Rd, Hazel Park, MI 48030-1416.

What is the taxonomy code for Irwin 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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