Dr. Thomas Matthew Goebel
Endodontist
491 Gold Star Hwy Ste 200
Groton
, Connecticut 06340-6226
Dr. Thomas Matthew Goebel
Endodontist
491 Gold Star Hwy Ste 200
Groton
, Connecticut 06340-6226
(860) 912-9323
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Thomas Matthew Goebel
- 110 Rowley Dr
- Stonington, CT
- Zip : 06378-2022
- Phone : (860) 912-9323
Second Address
- Dr. Thomas Matthew Goebel
- 491 Gold Star Hwy Ste 200
- Groton, CT
- Zip : 06340-6226
- Fax : (860) 446-2359
- Phone : (860) 446-2357
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 8904 | CT |
National Provider Identifier
| NPI | 1093894578 |
|---|---|
| Provider Name | Dr. Thomas Matthew Goebel |
| First Address | Stonington, CT 06378-2022 |
| Second Address | Groton, CT 06340-6226 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2006 |
| Last Update Date | 24/06/2021 |
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.