Goodell, Kurt
Goodell, Kurt is an individual health care provider with primary practice located at 228 E Hospital Rd , Fort Gordon GA 30905-6011. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is his primary health care specialty. Goodell, Kurt can be contacted via phone (706) 787-5531.Contact Information
Primary practice address
228 E Hospital Rd
Fort Gordon GA 30905-6011
Phone: (706) 787-5531
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | 61690 | Kansas |
Dental Providers / General Practice | 1223G0001X | 28236 | Texas |
Dental Providers / Endodontics | 1223E0200X | 28236 | Texas |
Dental Providers / Endodontics | 1223E0200X | DN122928 | Georgia |
Profile Details
NPI number | 1578811758 |
---|---|
LBN Legal business name | Goodell, Kurt |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2012 |
Last updated | Nov 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578811758 | NPPES |
Georgia | Other | DN122928 | DENTAL LICENSE |
Georgia | Other | 10383 | DENTAL LICENSE |
Georgia | Other | 61690 | DENTAL LICENSE |
Georgia | Other | 28236 | DENTAL LICENSE |
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