Goodman, Ronald Scott

Goodman, Ronald Scott is an individual health care provider with primary practice located at 28478 Dequindre Rd , Warren MI 48092-5605. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goodman, Ronald Scott can be contacted via phone (586) 574-2620.

Contact Information

Primary practice address
28478 Dequindre Rd Warren MI 48092-5605
Phone: (586) 574-2620
Fax: (586) 574-4560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15034 Michigan

Profile Details

NPI number 1023096047
LBN Legal business name Goodman, Ronald Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 9th, 2007 - about 17 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 1023096047 NPPES
Michigan MEDICAID 2613950
Michigan Other J800813

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