Goodman, Amanda Alexis

Goodman, Amanda Alexis is an sole proprietor health care provider with primary practice located at 5111 Ehrlich Rd Suite 130, Tampa FL 33624-2075. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Goodman, Amanda Alexis can be contacted via phone (813) 964-8833.

Contact Information

Primary practice address
5111 Ehrlich Rd Suite 130 Tampa FL 33624-2075
Phone: (813) 964-8833
Fax: (813) 964-8883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019026365 Illinois
Dental Providers / Endodontics 1223E0200X 021002124 Illinois
Dental Providers / Endodontics 1223E0200X DN18567 Florida

Profile Details

NPI number 1174856751
LBN Legal business name Goodman, Amanda Alexis
Credentials D.D.S., M.S..
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2009
Last updated Jun 12th, 2013 - about 11 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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