Individual provider · Type 1 NPI
Craig Stuart Goodman, DDS
Periodontics · Dallas, TX
NPI number
1285658005
Active
Practice location
5925 Forest Ln, Suite #310
Dallas, TX 75230-2712
Fax (972) 960-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 14185 (TX) |
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 1285658005
Craig Stuart Goodman, DDS's National Provider Identifier is 1285658005, issued on Jul 26, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.