Goode, Randall Ray
Goode, Randall Ray is an individual health care provider with primary practice located at 34301 23 Mile Rd Suite 140A, Chesterfield MI 48047-4432. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goode, Randall Ray can be contacted via phone (586) 725-5500.Contact Information
Primary practice address
34301 23 Mile Rd Suite 140A
Chesterfield MI 48047-4432
Phone: (586) 725-5500
Fax: (586) 725-8172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901012324 | Michigan |
| Dental Providers / General Practice | 1223G0001X | 52678 | California |
Profile Details
| NPI number | 1063434389 |
|---|---|
| LBN Legal business name | Goode, Randall Ray |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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