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Dr. Charles Joseph Goodacre

Prosthodontist

11092 Anderson St Dean's Office, Ph 5518
Loma Linda , California 92350-1706

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Dr. Charles Joseph Goodacre

Prosthodontist

11092 Anderson St Dean's Office, Ph 5518
Loma Linda , California 92350-1706

(909) 558-0483

Write a Review Save Call

Dr. Charles Joseph Goodacre

Prosthodontist

11092 Anderson St Dean's Office, Ph 5518
Loma Linda , California 92350-1706

(909) 558-0483 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthodontist

Languages spoken

  • English

Location

11092 Anderson St Dean's Office, Ph 5518 Loma Linda , California 92350-1706

First Address

  • Dr. Charles Joseph Goodacre
  • 250 East 7th Street Suite D
  • Upland, CA
  • Zip : 91786
  • Fax : (909) 558-0483
  • Phone : (909) 558-4683

Second Address

  • Dr. Charles Joseph Goodacre
  • 11092 Anderson St Dean's Office, Ph 5518
  • Loma Linda, CA
  • Zip : 92350-1706
  • Fax : (909) 558-0483
  • Phone : (909) 558-4683

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FAQs


Where did Dr. Charles Joseph Goodacre attend graduate school?

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Where did Dr. Charles Joseph Goodacre do his residency?

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Where did Dr. Charles Joseph Goodacre do his fellowship?

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Is Dr. Charles Joseph Goodacre board certified?

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What type of doctor is Dr. Charles Joseph Goodacre

Prosthodontist

In what state does Dr. Charles Joseph Goodacre practice in?

California

Where is Dr. Charles Joseph Goodacre ’s practice located?

11092 Anderson St Dean's Office, Ph 5518 , Loma Linda, California, 92350-1706

What is Dr. Charles Joseph Goodacre ’s gender?

Male

Is Dr. Charles Joseph Goodacre a sole practitioner?

No

Is Dr. Charles Joseph Goodacre accepting new patients?

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What languages does Dr. Charles Joseph Goodacre speak?

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Does Dr. Charles Joseph Goodacre accept insurance?

Yes, Dr. Charles Joseph Goodacre accepts insurance

Does Dr. Charles Joseph Goodacre offers telemedicine?

Dr. Charles Joseph Goodacre has not indicated if he offers telemedicine

What is Dr. Charles Joseph Goodacre ’s professional license number?

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What is Dr. Charles Joseph Goodacre ’s NPI number?

1235267774

Does Dr. Charles Joseph Goodacre have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0700X Prosthodontist 42510 CA

National Provider Identifier

NPI 1235267774
Provider Name Dr. Charles Joseph Goodacre
First Address Upland, CA 91786
Second Address Loma Linda, CA 92350-1706
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 28/02/2007
Last Update Date 05/08/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
149710156 AMER. DENTAL ASSOC. # (01) CA
42510 CALIF. DENTAL ASSOC. # (01) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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