Daniel Tim Goodman Jr., D.D.S

General Practice Dentistry · Bolivar, MO

Individual Active NPI

NPI number 1699835603

Practice location

305 E Broadway St
Bolivar, MO 65613-1625
Phone
(417) 326-4113
Fax
(417) 326-4115

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NPI record

NPI
1699835603
Entity type
Individual (Type 1)
Enumeration date
December 11, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2005015020 MO

About Dr. Goodman

Daniel Tim Goodman Jr., 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 305 E Broadway St, Bolivar, MO 65613-1625. The NPI number 1699835603 was assigned on December 11, 2006 and the record was last updated on July 8, 2007.

Dr. Goodman 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.

Frequently asked questions

What is the NPI number of Daniel Tim Goodman Jr., D.D.S?

The NPI number is 1699835603.

What is the phone number of Dr. Goodman?

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

Where is Dr. Goodman located?

305 E Broadway St, Bolivar, MO 65613-1625.

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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