Goodman, Wendy

Goodman, Wendy is an individual health care provider with primary practice located at 949 N 14Th St , Leesberg FL 34748. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Goodman, Wendy can be contacted via phone (352) 460-0164.

Contact Information

Primary practice address
949 N 14Th St Leesberg FL 34748
Fax: (352) 559-3962
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN23123 Florida
Dental Providers / Periodontics 1223P0300X 035239 New York
Dental Providers / Periodontics 1223P0300X DN23123 Florida

Profile Details

NPI number 1053574087
LBN Legal business name Goodman, Wendy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jan 16th, 2019 - about 5 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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