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Dr. Charles Harrell Goodman, DDSMS
Periodontist in Chicago, Illinois
NPI 1164547105

Charles Harrell Goodman is a Periodontist based in Chicago, IL and is specialized in Periodontics. Charles Harrell Goodman practices in Chicago, IL and has the professional credentials of DDSMS. The NPI Number for Charles Harrell Goodman is 1164547105 and holds a License No. 12009427 (Illinois).

The current practice location address for Charles Harrell Goodman is 2835 N Sheffield Ave, Chicago, IL and can be reached out via phone at 773-327-1613 and via fax at 773-327-3642.

Location: 2835 N Sheffield Ave, Chicago, IL, 60657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164547105
Provider Name
Charles Harrell Goodman
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
2835 N Sheffield Ave, Chicago, IL, 60657
Phone Number
773-327-1613
Fax Number
773-327-3642
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2835 N Sheffield Ave
City
Chicago
State
Illinois
Zip
60657
Phone Number
773-327-1613
Fax Number
773-327-3642
person
Provider Business Mailing Address Details
Address
2835 N Sheffield Ave
City
Chicago
State
Illinois
Zip
60657
Phone Number
773-327-1613
Fax Number
773-327-3642
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
12009427 (Indiana)
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 structures and tissues.
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