Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK GOODENOUGH, DDS, MD
ActiveDR. MARK GOODENOUGH, DDS, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in STATEN ISLAND, New York. NPI 1154858033 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · STATEN ISLAND, NY
Registration Details
- NPI Number
- 1154858033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2017 (9.1889680199694 yrs)
- Last Updated
- Jun 26, 2024
- Licenses
-
063143 (NY)311698 (NY)
Practice Information
- Address
-
256C MASON AVESTATEN ISLAND, NY, 103053408Browse NY providers · Browse ZIP 10305
- Phone
- 7182261251
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- General Practice
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.