Gregory Thomas Goodlin in Portland - Dentist
Gregory Thomas Goodlin - NPI 1952463804
Gregory Thomas Goodlin is a Dentist in Portland, Oregon. Gregory Thomas Goodlin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregory Thomas Goodlin is 1952463804. The last update date is 2007-07-08.
Gregory Thomas Goodlin's current location address is 11769 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032529901 and fax number 5032523094. The mailing address for Gregory Thomas Goodlin is 11769 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Thomas Goodlin |
|---|---|
| Address | 11769 Ne Glisan St, Portland, Oregon |
| Phone Number | 5032529901 |
| Fax Number | 5032523094 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1952463804 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11769 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97220 |
| Phone Number | 5032529901 |
| Fax Number | 5032523094 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D7070 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gregory Thomas Goodlin by the Centers for Medicare & Medicaid Services?
The Gregory Thomas Goodlin has been assigned the NPI (National Provider Identifier) 1952463804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Gregory Thomas Goodlin's facilities are situated?
The facilities of Gregory Thomas Goodlin are physically located at the following address: 11769 Ne Glisan St, Portland, OR, 97220.
What is Gregory Thomas Goodlin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Thomas Goodlin's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the Gregory Thomas Goodlin's 1952463804 issued?
The Gregory Thomas Goodlin's 1952463804 was issued on 2006-12-15.
As of what date was the information regarding Gregory Thomas Goodlin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Thomas Goodlin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY