Goodman, David Barnett

Goodman, David Barnett is an individual health care provider with primary practice located at 3755 76Th St , Jackson Heights NY 11372-6507. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Goodman, David Barnett can be contacted via phone (718) 429-6116.

Contact Information

Primary practice address
3755 76Th St Jackson Heights NY 11372-6507
Phone: (718) 429-6116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 026422 New York

Profile Details

NPI number 1396808028
LBN Legal business name Goodman, David Barnett
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396808028 NPPES
New York Other 026422 LICENSE NUMBER
New York MEDICAID 00620939 LICENSE NUMBER

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