Whalio Doctors

NPI 1225250905

James B Goodman, DDS

Practitioner General Practice Dentistry Kenai, AK

Practice location

Address
605 Marine Ave, Kenai, AK 99611-6928
Phone
(907) 283-4875
Mailing address
27498 Northridge Rd., PO Box 726, Davenport, WA 99122

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 472 (AK)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence LL537764 (MI)

Registry record

NPI
1225250905
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 May 2007
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.