Michael S. Goodman, D. D. S.

NPI #1043275548 in Willimantic, Connecticut

Provider Information

NPI Number: 1043275548
Entity Type: Individual
Name: Michael S. Goodman, D. D. S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Pediatric Dentistry
Credential: D. D. S.
Enumeration Date: Apr 18, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 1315 MAIN ST
City: Willimantic
State: Connecticut
ZIP Code: 06226-1948
Phone: (860) 450-7471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary
Dentist - Dental Public Health — Dental Public Health	1223D0001X

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