Burton E Goodman is a Dentist in Mequon, Wisconsin. Burton E Goodman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Burton E Goodman is 1912096140. The last update date is 2007-07-08.
Burton E Goodman's current location address is 10016 N Kirkland Court, Mequon, Wisconsin. You can contact this provider via phone number 2622422576. The mailing address for Burton E Goodman is 10016 N Kirkland Court, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Burton E Goodman |
|---|---|
| Address | 10016 N Kirkland Court, Mequon, Wisconsin |
| Phone Number | 2622422576 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912096140 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10016 N Kirkland Court |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 539825444 |
| Phone Number | 2622422576 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4000239 |
|
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 |
|---|---|---|---|
| 33530300 | WI | -- |
Post Comment/ Review Below
Could you share the physical location details of Burton E Goodman?
The Burton E Goodman is situated at 10016 N Kirkland Court, in the city of Mequon, state of WI, with the zip code 539825444.
What is Burton E Goodman's area of expertise and its corresponding taxonomy classification?
The Burton E Goodman's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
What is Burton E Goodman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Burton E Goodman is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When did Burton E Goodman receive its 1912096140 assignment?
The Burton E Goodman was assigned its 1912096140 on 2006-10-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Burton E Goodman last refreshed?
The information related to the Burton E Goodman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX