John Earl Goodrich in Mountain Home - Dentist
John Earl Goodrich - NPI 1346251105
John Earl Goodrich is a Dentist in Mountain Home, Idaho. John Earl Goodrich practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Earl Goodrich is 1346251105. The last update date is 2015-12-23.
John Earl Goodrich's current location address is 450 W 6th S, Mountain Home, Idaho. You can contact this provider via phone number 2085873314 and fax number 2085873921. The mailing address for John Earl Goodrich is 450 W 6th S, Mountain Home, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Earl Goodrich |
|---|---|
| Address | 450 W 6th S, Mountain Home, Idaho |
| Phone Number | 2085873314 |
| Fax Number | 2085873921 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1346251105 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2015-12-23 |
Provider Mailing Address Detail
| Address | 450 W 6th S |
|---|---|
| City | Mountain Home |
| State | Idaho (ID) |
| Post Code | 836473483 |
| Phone Number | 2085873314 |
| Fax Number | 2085873921 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D2090 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26928 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Earl Goodrich by the Centers for Medicare & Medicaid Services?
The John Earl Goodrich has been issued the NPI (National Provider Identifier) 1346251105, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John Earl Goodrich located?
The John Earl Goodrich is located at 450 W 6Th S, Mountain Home, ID 836473483.
What is the John Earl Goodrich's area of specialization and corresponding taxonomy classification?
The John Earl Goodrich's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the John Earl Goodrich receive its 1346251105?
The John Earl Goodrich was issued its 1346251105 on 2006-08-10, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to John Earl Goodrich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Earl Goodrich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-23.