Goodman, Jeffrey Alexander

Goodman, Jeffrey Alexander is an sole proprietor health care provider with primary practice located at 661 Shunpike Rd Suite #1, Green Village NJ 07935-3022. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Goodman, Jeffrey Alexander can be contacted via phone (973) 377-8811.

Contact Information

Primary practice address
661 Shunpike Rd Suite #1 Green Village NJ 07935-3022
Phone: (973) 377-8811
Fax: (973) 377-8847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 22DI01348500 New Jersey

Profile Details

NPI number 1619042587
LBN Legal business name Goodman, Jeffrey Alexander
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 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 1619042587 NPPES
New Jersey Other 22DI01348500 LICENSE REGISTRATION CERT

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