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Dr. Jeffrey Mark Goodman
General Practice Dentistry in Philadelphia, Pennsylvania
NPI 1033370259

Jeffrey Mark Goodman is a General Practice Dentistry based in Philadelphia, PA and is specialized in General Practice. Jeffrey Mark Goodman practices in Philadelphia, PA. The NPI Number for Jeffrey Mark Goodman is 1033370259 and holds a License No. (Pennsylvania).

The current practice location address for Jeffrey Mark Goodman is 5501 Old York Rd, Philadelphia, PA and can be reached out via phone at 215-456-7104.

Location: 5501 Old York Rd, Philadelphia, PA, 19141-3018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033370259
Provider Name
Jeffrey Mark Goodman
Credential
Provider Entity Type
Individual
Gender
Male
Address
5501 Old York Rd, Philadelphia, PA, 19141-3018
Phone Number
215-456-7104
Fax Number
Provider Enumeration Date
06/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5501 Old York Rd
City
Philadelphia
State
Pennsylvania
Zip
19141-3018
Phone Number
215-456-7104
Fax Number
person
Provider Business Mailing Address Details
Address
5501 Old York Rd
City
Philadelphia
State
Pennsylvania
Zip
19141-3018
Phone Number
215-456-7104
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DI02399000 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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