Individual provider · Type 1 NPI
Amy Goodwin, DMD
Pediatric Dentistry · Las Vegas, NV
NPI number
1063674356
Active
Practice location
6910 S Rainbow Blvd Ste 104
Las Vegas, NV 89118-3274
Fax (702) 631-5437
Mailing address
9521 Bottle Creek Ln
Las Vegas, NV 89117-0501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 6021 (NV) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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About NPI 1063674356
Amy Goodwin, DMD's National Provider Identifier is 1063674356, issued on Jun 27, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 14, 2010.