John Russell Goodloe JR. D.M.D

NPI 1679746069 - Dentist - 1223X0400X

NPI Details
NPI 1679746069
Gender Male
Enumeration Date 04/08/2008
Last Updated 04/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1605 HILLCREST RD
MOBILE AL, 36695-3987, US
Phone (251) 634-0242
Fax (251) 634-0546
Business Location
1605 HILLCREST RD
MOBILE AL, 36695-3987, US
Phone (251) 634-0242
Fax (251) 634-0546
Toxanomy
Taxonomy Code 1223X0400X
License State Alabama
License Number 2620
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According to our database, Dr. John Russell Goodloe JR. D.M.D NPI is 1679746069, taxonomy code is 1223X0400X and license number is 2620, license state is located at Alabama. John Russell Goodloe JR. D.M.D physically located at 1605 Hillcrest Rd, Mobile AL, 36695-3987. NPI Number John Russell Goodloe JR. D.M.D has the Individual type.

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1679746069 NPI number is provided on an as is basis without warranty of any kind. 1679746069 is maintained by the National Plan & Provider Enumeration System. The contents of John Russell Goodloe JR. D.M.D are for informational purposes only.