Tim Goodheart, D.D.S

NPI 1679586887 · on the registry since 2006 · sole proprietor

Practice

Address: 6530 Raytown Rd
#A
Raytown, MO 64133
Phone: (816) 353-0673
Fax: (816) 353-8432
Organisation at this address: Michael A Sampson Dds Inc
Davis Family & Cosmetic Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Missouri