Michael S. Goodman in Suffield - Pediatric Dentistry
Michael S. Goodman - NPI 1043275548
Michael S. Goodman is a Pediatric Dentistry in Suffield, Connecticut. Michael S. Goodman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Michael S. Goodman is 1043275548. The last update date is 2007-07-11.
Michael S. Goodman's current location address is 131 W Grayling Ln, Suffield, Connecticut. You can contact this provider via phone number 8606686622. The mailing address for Michael S. Goodman is 131 W Grayling Ln, Suffield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael S. Goodman |
|---|---|
| Address | 131 W Grayling Ln, Suffield, Connecticut |
| Phone Number | 8606686622 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D. D. S. |
NPI Number Detail
| NPI Number | 1043275548 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 131 W Grayling Ln |
|---|---|
| City | Suffield |
| State | Connecticut (CT) |
| Post Code | 60781960 |
| Phone Number | 8606686622 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3955 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Michael S. Goodman by the Centers for Medicare & Medicaid Services (CMS)?
The Michael S. Goodman has been assigned the NPI (National Provider Identifier) 1043275548. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Michael S. Goodman is physically located?
The Michael S. Goodman is physically situated at the following address: 131 W Grayling Ln, Suffield, CT, 60781960.
What is the Michael S. Goodman's specialty and taxonomy code?
The Michael S. Goodman's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did Michael S. Goodman receive its 1043275548 assignment?
The Michael S. Goodman was assigned its 1043275548 on 2006-04-18, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Michael S. Goodman most recently updated or revised?
The details related to Michael S. Goodman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-11.