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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL GOODLOE III, DDS, MD

Active Sole Proprietor

DR. SAMUEL GOODLOE III, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in WILLIAMSVILLE, New York. NPI 1144279191 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · WILLIAMSVILLE, NY

Registration Details

NPI Number
1144279191
Provider Type
Individual
Gender
Male
NPI Issued
May 8, 2006 (20.227218870151 yrs)
Last Updated
Nov 17, 2010
Licenses
044038 (NY)
208101 (NY)
Sole Proprietor
Yes

Practice Information

Address
1321 MILLERSPORT HWY
SUITE #201
WILLIAMSVILLE, NY, 142212900
Browse NY providers · Browse ZIP 14221
Phone
7166260001
Fax
7166260031
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
General Surgery

Other Oral & Maxillofacial Surgery Providers in WILLIAMSVILLE, NY

Name Credential NPI
JOSEPH EDWARD MARGARONE III D.D.S. 1609849058
DR. RONALD ADAM CHMIEL JR. D.D.S. 1386696722
DR. FRANK T SINDONI M.D. 1144249368
DR. MICHAEL N HATTON DDS 1265454599
DR. GREGORY DANIEL WHITE D.D.S. 1154764793
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.