Charles Michael Goodman, D.D.S.

Dentist · Warren, MI

Individual Active NPI

NPI number 1720346984

Practice location

28282 Dequindre Rd
Warren, MI 48092-5604
Phone
(586) 574-2620

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NPI record

NPI
1720346984
Entity type
Individual (Type 1)
Enumeration date
April 25, 2012
Last updated
April 25, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 8371 MI

About Dr. Goodman

Charles Michael Goodman, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 28282 Dequindre Rd, Warren, MI 48092-5604. The NPI number 1720346984 was assigned on April 25, 2012 and the record was last updated on April 25, 2012.

Dr. Goodman lists a license in the registry: #8371 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Michael Goodman, D.D.S.?

The NPI number is 1720346984.

What is the phone number of Dr. Goodman?

The phone number listed for the practice location is (586) 574-2620.

Where is Dr. Goodman located?

28282 Dequindre Rd, Warren, MI 48092-5604.

What is the taxonomy code for Dr. Goodman?

The primary taxonomy code is 122300000X – Dentist.

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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