John Russell Goodloe in Mobile - Orthodontics And Dentofacial Orthopedics
John Russell Goodloe - NPI 1679746069
John Russell Goodloe is a Orthodontics And Dentofacial Orthopedics in Mobile, Alabama. John Russell Goodloe practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John Russell Goodloe is 1679746069. The last update date is 2008-04-08.
John Russell Goodloe's current location address is 1605 Hillcrest Rd, Mobile, Alabama. You can contact this provider via phone number 2516340242 and fax number 2516340546. The mailing address for John Russell Goodloe is 1605 Hillcrest Rd, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Russell Goodloe |
|---|---|
| Address | 1605 Hillcrest Rd, Mobile, Alabama |
| Phone Number | 2516340242 |
| Fax Number | 2516340546 |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1679746069 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 1605 Hillcrest Rd |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366953987 |
| Phone Number | 2516340242 |
| Fax Number | 2516340546 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 2620 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique provider identifier assigned to John Russell Goodloe?
The John Russell Goodloe has been issued the NPI (National Provider Identifier) 1679746069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Russell Goodloe?
The John Russell Goodloe is physically situated at 1605 Hillcrest Rd, in the city of Mobile, state of AL, with the postal code 366953987.
What is the John Russell Goodloe's area of specialization and corresponding taxonomy classification?
The John Russell Goodloe's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did John Russell Goodloe receive its 1679746069 assignment from the Centers for Medicare & Medicaid Services?
The John Russell Goodloe was assigned its 1679746069 on 2008-04-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Russell Goodloe most recently updated or revised?
The details related to John Russell Goodloe, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-08.
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