Individual provider · Type 1 NPI

Jacob Forrest Goodman

Dentist · Bolivar, MO

NPI number 1376474098 Active

Practice location

305 E Broadway St
Bolivar, MO 65613-1625

Mailing address

315 E Broadway St
Bolivar, MO 65613-1625

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2026022880 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1376474098

Jacob Forrest Goodman's National Provider Identifier is 1376474098, issued on May 29, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bolivar, MO. The record was last updated on Jul 24, 2026.