Individual provider · Type 1 NPI

Charles Harrell Goodman, DDS MS

Periodontics · Chicago, IL

NPI number 1164547105 Active

Practice location

2835 N Sheffield Ave, Suite 408
Chicago, IL 60657

Call (773) 327-1613 Map

Fax (773) 327-3642

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X12009427 (IN)
Periodontics Primary 1223P0300XNone listed

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.

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About NPI 1164547105

Charles Harrell Goodman, DDS MS's National Provider Identifier is 1164547105, issued on Mar 20, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.