Jeffrey Alexander Goodman in Green Village - Prosthodontics
Jeffrey Alexander Goodman - NPI 1619042587
Jeffrey Alexander Goodman is a Prosthodontics in Green Village, New Jersey. Jeffrey Alexander Goodman practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Jeffrey Alexander Goodman is 1619042587. The last update date is 2007-07-08.
Jeffrey Alexander Goodman's current location address is 661 Shunpike Rd, Green Village, New Jersey. You can contact this provider via phone number 9733778811 and fax number 9733778847. The mailing address for Jeffrey Alexander Goodman is 661 Shunpike Rd, Green Village, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Alexander Goodman |
|---|---|
| Address | 661 Shunpike Rd, Green Village, New Jersey |
| Phone Number | 9733778811 |
| Fax Number | 9733778847 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1619042587 |
|---|---|
| Provider Enumeration Date | 2006-11-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 661 Shunpike Rd |
|---|---|
| City | Green Village |
| State | New Jersey (NJ) |
| Post Code | 79353022 |
| Phone Number | 9733778811 |
| Fax Number | 9733778847 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 22DI01348500 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22DI01348500 | NJ | LICENSE REGISTRATION CERT |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey Alexander Goodman by the Centers for Medicare & Medicaid Services?
The Jeffrey Alexander Goodman has been issued the NPI (National Provider Identifier) 1619042587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeffrey Alexander Goodman's facilities are situated?
The facilities of Jeffrey Alexander Goodman are physically located at the following address: 661 Shunpike Rd, Green Village, NJ, 79353022.
What is Jeffrey Alexander Goodman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Alexander Goodman's area of specialization is Prosthodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619042587 to Jeffrey Alexander Goodman?
The Jeffrey Alexander Goodman received its 1619042587 assignment from the Centers for Medicare & Medicaid Services on 2006-11-23.
When was the Jeffrey Alexander Goodman's information last updated?
The Jeffrey Alexander Goodman's information was last updated on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA