NPI 1053480517

John B. Goessman, DDS

Practitioner Endodontics Poulsbo, WA

Practice location

Address: 20700 Bond Rd NE Suite 107, Poulsbo, WA 98370-9099
Phone: (360) 779-7912
Fax: (360) 779-2457

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence 7639 (WA)

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Registry record

NPI: 1053480517
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.