Tim Goodheart in Raytown - Dentist

Tim Goodheart - NPI 1679586887

Tim Goodheart is a Dentist in Raytown, Missouri. Tim Goodheart practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tim Goodheart is 1679586887. The last update date is 2007-07-08.

Tim Goodheart's current location address is 6530 Raytown Rd, Raytown, Missouri. You can contact this provider via phone number 8163530673 and fax number 8163538432. The mailing address for Tim Goodheart is 6530 Raytown Rd, Raytown, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tim Goodheart
Address 6530 Raytown Rd, Raytown, Missouri
Phone Number 8163530673
Fax Number 8163538432
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1679586887
Provider Enumeration Date 2006-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6530 Raytown Rd
City Raytown
State Missouri (MO)
Post Code 641335058
Phone Number 8163530673
Fax Number 8163538432

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DE 015522
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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FAQs about Tim Goodheart

What is the unique provider identifier assigned to Tim Goodheart?

The Tim Goodheart has been issued the NPI (National Provider Identifier) 1679586887 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Tim Goodheart's physical address?

The Tim Goodheart is physically located at 6530 Raytown Rd, in the city of Raytown, MO, with the postal code 641335058.

What is Tim Goodheart's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

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

On what date did the Centers for Medicare & Medicaid Services assign the 1679586887 to Tim Goodheart?

The Centers for Medicare & Medicaid Services assigned the 1679586887 to Tim Goodheart on 2006-08-15.

As of what date was the information pertaining to Tim Goodheart, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tim Goodheart, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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