DR. Tim Goodheart, D.D.S.

NPI #1679586887 in Raytown, Missouri

Provider Information

NPI Number: 1679586887
Entity Type: Individual
Name: DR. Tim Goodheart, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6530 RAYTOWN RD
Address 2: #A
City: Raytown
State: Missouri
ZIP Code: 64133-5058
Phone: (816) 353-0673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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