Mary Thresa Goodman, DDS

General Practice Dentistry · Ralston, NE

Individual Active NPI

NPI number 1295265775

Practice location

9513 Q St
Ralston, NE 68127-5201
Phone
(402) 339-6400

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NPI record

NPI
1295265775
Entity type
Individual (Type 1)
Enumeration date
June 15, 2017
Last updated
March 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7393 NE

Other practice locations (1)

  • 8041 S 83rd Ave, LA Vista, NE 68128-2490 · (402) 884-1174

About Dr. Goodman

Mary Thresa Goodman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 9513 Q St, Ralston, NE 68127-5201. The NPI number 1295265775 was assigned on June 15, 2017 and the record was last updated on March 17, 2018.

Dr. Goodman lists a license in the registry: #7393 (NE) 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 Mary Thresa Goodman, DDS?

The NPI number is 1295265775.

What is the phone number of Dr. Goodman?

The phone number listed for the practice location is (402) 339-6400.

Where is Dr. Goodman located?

9513 Q St, Ralston, NE 68127-5201.

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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