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John Goodman, DDS
NPI 1285981217 · on the registry since 2012
Practice
- Address
- 1920 S Nevada Ave
Colorado Springs, CO 80905 - Phone
- (719) 576-5566
- Organisation at this address
- Safeway Inc
1918 Winter Street Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
122300000X
1223G0001X - Licence states on file
- TN, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado