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

DR. CHARLES HARRELL GOODMAN, DDS MS

Active

DR. CHARLES HARRELL GOODMAN, DDS MS is a Periodontology healthcare provider located in CHICAGO, Illinois. NPI 1164547105 is currently active in the NPPES registry. Verify at CMS.

Periodontology · CHICAGO, IL

Registration Details

NPI Number
1164547105
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2007 (19.43897330738 yrs)
Last Updated
Jul 8, 2007
License
12009427 (IN)

Practice Information

Address
2835 N SHEFFIELD AVE
SUITE 408
CHICAGO, IL, 60657
Browse IL providers · Browse ZIP 60657
Phone
7733271613
Fax
7733273642
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology

Other Periodontology Providers in CHICAGO, IL

Name Credential NPI
DR. REZA SANAI DDS, MS 1982665204
DR. MARIA G PATINO D.D.S, M.S. 1669489118
DR. JAMES EDWARD BEARD DMD, MS 1063518918
DR. DANIEL SMULSON DDS 1477650323
DANIEL ARTHUR GREENBERG DDS PC 1588764450
DONNA MARIE BARBER DDS 1154421030
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.