Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EVAN B GOODMAN, D.D.S.
Active Sole ProprietorDR. EVAN B GOODMAN, D.D.S. is a Dentist healthcare provider located in LIBERTYVILLE, Illinois. NPI 1770506776 is currently active in the NPPES registry. Verify at CMS.
Dentist · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1770506776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.027446996379 yrs)
- Last Updated
- Jul 8, 2007
- License
-
019-012704 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 W MAPLE AVELIBERTYVILLE, IL, 600482119Browse IL providers · Browse ZIP 60048
- Phone
- 8473622980
- Fax
- 8473622704
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID CARY MCCLENAHAN | DDS | 1952415903 |
| ELEANOR B MERRILL CHUDY | DDS | 1689789745 |
| DR. CLAUDE CHARLES LEROSE | DDS | 1851407647 |
| DR. DAVID WANG HONEY | DMD | 1699884213 |
| DR. YELENA Y KOZLOVITSER | DDS | 1013010651 |
| DR. ZAYNEB E BAHRANI | D.D.S. | 1811097660 |
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.