Howard T Goodpaster in Shclimar - Dentist

Howard T Goodpaster - NPI 1528155413

Howard T Goodpaster is a Dentist in Shclimar, Florida. Howard T Goodpaster practices all healthcare services and medical treatments related to Dentist. The NPI Number for Howard T Goodpaster is 1528155413. The last update date is 2007-07-08.

Howard T Goodpaster's current location address is 1 Eleventh Avenue, Shclimar, Florida. You can contact this provider via phone number 8506516700 and fax number 8506090796. The mailing address for Howard T Goodpaster is 1 Eleventh Avenue, Shclimar, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Howard T Goodpaster
Address 1 Eleventh Avenue, Shclimar, Florida
Phone Number 8506516700
Fax Number 8506090796
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1528155413
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Eleventh Avenue
City Shclimar
State Florida (FL)
Post Code 32579
Phone Number 8506516700
Fax Number 8506090796

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 11081
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11801 FL LICENSE NUMBER
67946 FL BLUE CROSS BLUE SHIELD FL
1436581 FL UNITED CONCORIDA INS CO

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FAQs about Howard T Goodpaster

What is the unique 10-digit identification code issued to Howard T Goodpaster by the Centers for Medicare & Medicaid Services?

The Howard T Goodpaster has been assigned the NPI (National Provider Identifier) 1528155413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Howard T Goodpaster located?

The Howard T Goodpaster is located at 1 Eleventh Avenue, Shclimar, FL 32579.

What is Howard T Goodpaster's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Howard T Goodpaster is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Howard T Goodpaster receive its 1528155413 assignment from the Centers for Medicare & Medicaid Services?

The Howard T Goodpaster was assigned its 1528155413 by the Centers for Medicare & Medicaid Services on 2006-10-10.

As of what date were the details related to Howard T Goodpaster most recently updated or revised?

The information pertaining to Howard T Goodpaster, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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