Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH A GOODMAN, DDS
DeactivatedDR. KENNETH A GOODMAN, DDS is a General Dentistry healthcare provider located in KALAMAZOO, Michigan. NPI 1851394894 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · KALAMAZOO, MI
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1851394894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (0.81369863013699 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 16, 2006
- License
-
11807 (MI)
Practice Information
- Address
-
5925 VENTURE PARKKALAMAZOO, MI, 490091859Browse MI providers · Browse ZIP 49009
- Phone
- 2693533700
- Fax
- 2693533701
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in KALAMAZOO, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID THOMAS BROWN | DDS | 1376547208 |
| DR. LORRAINE D. HANNA | D.D.S. | 1598760530 |
| DR. RONALD MARK THOMPSON | DDS | 1629056965 |
| DR. DONALD L DYRESEN | D.D.S. | 1861468324 |
| DR. CARRIE LYNNE LINTNER | DDS PLC | 1568486579 |
| DR. SAMBHAVITA RANGRASS | D.D.S. | 1154335057 |
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.