Jude P. Goodwin, D.D.S.

General Practice Dentistry · Bryan, TX

Individual Active NPI

NPI number 1396589800

Practice location

1710 Briarcrest Dr Ste 111
Bryan, TX 77802-2871
Phone
(979) 704-6408
Fax
(979) 704-6409

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NPI record

NPI
1396589800
Entity type
Individual (Type 1)
Enumeration date
June 20, 2024
Last updated
June 20, 2024
Certified
June 20, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 40384 TX

Mailing address

219 Rock Prairie Rd Ste 100
College Station, TX 77845-8796
Phone
(979) 695-8000
Fax
(979) 314-9702

About Dr. Goodwin

Jude P. Goodwin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1710 Briarcrest Dr Ste 111, Bryan, TX 77802-2871. The NPI number 1396589800 was assigned on June 20, 2024 and the record was last updated on June 20, 2024.

Dr. Goodwin lists a license in the registry: #40384 (TX) 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 Jude P. Goodwin, D.D.S.?

The NPI number is 1396589800.

What is the phone number of Dr. Goodwin?

The phone number listed for the practice location is (979) 704-6408.

Where is Dr. Goodwin located?

1710 Briarcrest Dr Ste 111, Bryan, TX 77802-2871.

What is the taxonomy code for Dr. Goodwin?

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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