Charles Harrell Goodman in Chicago - Periodontics
Charles Harrell Goodman - NPI 1164547105
Charles Harrell Goodman is a Periodontics in Chicago, Illinois. Charles Harrell Goodman practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Charles Harrell Goodman is 1164547105. The last update date is 2007-07-08.
Charles Harrell Goodman's current location address is 2835 N Sheffield Ave, Chicago, Illinois. You can contact this provider via phone number 7733271613 and fax number 7733273642. The mailing address for Charles Harrell Goodman is 2835 N Sheffield Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Harrell Goodman |
|---|---|
| Address | 2835 N Sheffield Ave, Chicago, Illinois |
| Phone Number | 7733271613 |
| Fax Number | 7733273642 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1164547105 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2835 N Sheffield Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60657 |
| Phone Number | 7733271613 |
| Fax Number | 7733273642 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 12009427 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Post Comment/ Review Below
What is the Charles Harrell Goodman's unique identification number?
The Charles Harrell Goodman has been assigned the NPI (National Provider Identifier) Number 1164547105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Charles Harrell Goodman is geographically located?
The Charles Harrell Goodman is physically situated at the following location: 2835 N Sheffield Ave, Chicago, IL, 60657.
What is Charles Harrell Goodman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Harrell Goodman's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date was the 1164547105 assigned to Charles Harrell Goodman?
The Charles Harrell Goodman was issued its 1164547105 on 2007-03-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Charles Harrell Goodman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Harrell Goodman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.