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

DR. ROGER LYLE GOODMAN, D.D.S.

Active

DR. ROGER LYLE GOODMAN, D.D.S. is a Orthodontics healthcare provider located in MASON, Michigan. NPI 1285612903 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · MASON, MI

Registration Details

NPI Number
1285612903
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2006 (20.651636436143 yrs)
Last Updated
Jul 8, 2007
License
2901010323 (MI)

Practice Information

Address
200 TEMPLE ST
MASON, MI, 488541837
Browse MI providers · Browse ZIP 48854
Phone
5176765200
Primary Specialty
Orthodontics
1223X0400X
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.