Mark Wesley Goodman is a Dentist in Altus, Oklahoma. Mark Wesley Goodman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Wesley Goodman is 1851307813. The last update date is 2023-03-07.
Mark Wesley Goodman's current location address is 801 E Tamarack Rd, Altus, Oklahoma. You can contact this provider via phone number 5804825424 and fax number 5804825429. The mailing address for Mark Wesley Goodman is 801 E Tamarack Rd, Altus, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wesley Goodman |
|---|---|
| Address | 801 E Tamarack Rd, Altus, Oklahoma |
| Phone Number | 5804825424 |
| Fax Number | 5804825429 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1851307813 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 801 E Tamarack Rd |
|---|---|
| City | Altus |
| State | Oklahoma (OK) |
| Post Code | 735211231 |
| Phone Number | 5804825424 |
| Fax Number | 5804825429 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4974 |
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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 |
|---|---|---|---|
| 794911 | OK | UNITED CONCORDIA # |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Wesley Goodman by the Centers for Medicare & Medicaid Services?
The Mark Wesley Goodman has been issued the NPI (National Provider Identifier) 1851307813. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark Wesley Goodman is physically located?
The Mark Wesley Goodman is situated at the following address: 801 E Tamarack Rd, Altus, OK 735211231.
What is Mark Wesley Goodman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Wesley Goodman's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Mark Wesley Goodman receive its 1851307813 assignment from the Centers for Medicare & Medicaid Services?
The Mark Wesley Goodman was assigned its 1851307813 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date were the details pertaining to Mark Wesley Goodman last refreshed?
The information related to the Mark Wesley Goodman, including its address, specialty, and other relevant details, was last updated on 2023-03-07.