M. Derek Goodman DDS

NPI 1477600948 - Dentist - 1223G0001X

NPI Details
NPI 1477600948
Gender Male
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2937 ESSARY DR
SUITE 1
KNOXVILLE TN, 37918-2465, US
Phone (865) 688-6051
Fax (865) 689-2597
Business Location
2937 ESSARY DR
SUITE 1
KNOXVILLE TN, 37918-2465, US
Phone (865) 688-6051
Fax (865) 689-2597
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number DS7276TN
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According to our database, Dr. M. Derek Goodman DDS NPI is 1477600948, taxonomy code is 1223G0001X and license number is DS7276TN, license state is located at Tennessee. M. Derek Goodman DDS physically located at 2937 Essary Dr, Knoxville TN, 37918-2465. NPI Number M. Derek Goodman DDS has the Individual type.

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1477600948 NPI number is provided on an as is basis without warranty of any kind. 1477600948 is maintained by the National Plan & Provider Enumeration System. The contents of M. Derek Goodman DDS are for informational purposes only.