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

DR. JEFFREY ALEXANDER GOODMAN, D.M.D.

Active Sole Proprietor

DR. JEFFREY ALEXANDER GOODMAN, D.M.D. is a Pediatric Dentistry healthcare provider located in GREEN VILLAGE, New Jersey. NPI 1619042587 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · GREEN VILLAGE, NJ

Registration Details

NPI Number
1619042587
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2006 (19.704339804882 yrs)
Last Updated
Jul 8, 2007
License
22DI01348500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
661 SHUNPIKE RD
SUITE #1
GREEN VILLAGE, NJ, 079353022
Browse NJ providers · Browse ZIP 07935
Phone
9733778811
Fax
9733778847
Primary Specialty
Pediatric Dentistry
1223P0700X
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.