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Dr. Daniel Tim Goodman JR., DDS
General Practice Dentistry in Bolivar, Missouri
NPI 1699835603

Daniel Tim Goodman JR. is a General Practice Dentistry based in Bolivar, MO and is specialized in General Practice. Daniel Tim Goodman JR. practices in Bolivar, MO and has the professional credentials of DDS. The NPI Number for Daniel Tim Goodman JR. is 1699835603 and holds a License No. 2005015020 (Missouri).

The current practice location address for Daniel Tim Goodman JR. is 305 E Broadway St, Bolivar, MO and can be reached out via phone at 417-326-4113 and via fax at 417-326-4115.

Location: 305 E Broadway St, Bolivar, MO, 65613-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699835603
Provider Name
Daniel Tim Goodman JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
305 E Broadway St, Bolivar, MO, 65613-1625
Phone Number
417-326-4113
Fax Number
417-326-4115
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750791 01 MO UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
305 E Broadway St
City
Bolivar
State
Missouri
Zip
65613-1625
Phone Number
417-326-4113
Fax Number
417-326-4115
person
Provider Business Mailing Address Details
Address
305 E Broadway St
City
Bolivar
State
Missouri
Zip
65613-1625
Phone Number
417-326-4113
Fax Number
417-326-4115
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2005015020 (Missouri)
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.
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