Individual provider · Type 1 NPI

Wendy Goodman, DDS

Periodontics · Leesberg, FL

NPI number 1053574087 Active

Practice location

949 N 14th St
Leesberg, FL 34748

Fax (352) 559-3962

Mailing address

2756 Cutters Cor
The Villages, FL 32162-6038

Other practice locations

  • 870 N US Highway 27, Lady Lake, FL 32159 · (352) 282-4785
  • 1590 E 19th St, Brooklyn, NY 11230-7204 · (718) 339-3297
  • 2689 E Gulf To Lake Hwy, Inverness, FL 34453-3216 · (352) 637-1114

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN23123 (FL)
Periodontics 1223P0300X035239 (NY)
Periodontics Primary 1223P0300XDN23123 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

4 other providers at this address

About NPI 1053574087

Wendy Goodman, DDS's National Provider Identifier is 1053574087, issued on Jul 9, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Leesberg, FL. The record was last updated on Jan 16, 2019.