Michael S Goodman, D D S
Dentist, Pediatric Dentistry in Willimantic, Connecticut
1043275548- Practice location
- 1315 Main St, Willimantic, CT 06226-1948
- Phone
- 860-450-7471
- Fax
- 860-423-4629
- Last updated
- July 11, 2007
Michael S. Goodman is a Dentist, Pediatric Dentistry based in Willimantic, CT. Michael S. Goodman practices in Willimantic, CT and has the professional credentials of D D S. The NPI Number for Michael S. Goodman is 1043275548 and holds a License No. 003955 (CT). The current practice location address for Michael S. Goodman is 1315 Main St, Willimantic, CT 06226-1948 and can be reached out via phone at 860-450-7471 and via fax at 860-423-4629.
Provider Profile Details
- NPI Number
- 1043275548
- Provider Name
- Michael S. Goodman
- Credential
- D D S
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1315 Main St, Willimantic, CT 06226-1948
- Phone Number
- 860-450-7471
- Fax Number
- 860-423-4629
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 18, 2006
- Last Update Date
- July 11, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1315 Main St
Willimantic, CT 06226-1948 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-1948
- Phone Number
- 860-450-7471
- Fax Number
- 860-423-4629
Provider Business Mailing Address Details
- Address
- 131 W Grayling Ln
Suffield, CT 06078-1960 - City
- Suffield
- State
- CT
- Zip
- 06078-1960
- Phone Number
- 860-668-6622
License Information
- License Number (1)
- 003955
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
- License Number (2)
- 003955
- License State (2)
- CT
- Taxonomy (2)
- Dentist, Dental Public Health · 1223D0001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael S Goodman, D D S?
The NPI number of Michael S Goodman, D D S is 1043275548. It was assigned on April 18, 2006 and is currently active in the NPPES registry.
What is the specialty of Michael S Goodman, D D S?
Michael S Goodman, D D S is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 003955.
Where does Michael S Goodman, D D S practice?
The practice location is 1315 Main St, Willimantic, CT 06226-1948. The office can be reached at 860-450-7471 (phone) or 860-423-4629 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043275548 directly on the NPPES registry website.