Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL S. GOODMAN, D. D. S.
ActiveMICHAEL S. GOODMAN, D. D. S. is a Pediatric Dentistry healthcare provider located in WILLIMANTIC, Connecticut. NPI 1043275548 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WILLIMANTIC, CT
Registration Details
- NPI Number
- 1043275548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2006 (20.351098736353 yrs)
- Last Updated
- Jul 11, 2007
- Licenses
-
003955 (CT)003955 (CT)
Practice Information
- Address
-
1315 MAIN STWILLIMANTIC, CT, 062261948Browse CT providers · Browse ZIP 06226
- Phone
- 8604507471
- Fax
- 8604234629
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.