Dr. Scott David Goodman
Pediatric Dentist
1340 Matthews Township Parkway Suite 201
Matthews
, North Carolina 28105
Dr. Scott David Goodman
Pediatric Dentist
1340 Matthews Township Parkway Suite 201
Matthews
, North Carolina 28105
(704) 847-4717
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Scott David Goodman
- 1340 Matthews Township Parkway Suite 201
- Matthews, NC
- Zip : 28105
- Phone : (704) 847-4717
Second Address
- Dr. Scott David Goodman
- 1340 Matthews Township Parkway Suite 201
- Matthews, NC
- Zip : 28105
- Fax : (704) 845-8439
- Phone : (704) 847-4717
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 4847 | NC |
National Provider Identifier
| NPI | 1003929860 |
|---|---|
| Provider Name | Dr. Scott David Goodman |
| First Address | Matthews, NC 28105 |
| Second Address | Matthews, NC 28105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.