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
Phone: (352) 460-0164
Fax: (352) 559-3962
Website:
Health care specialties
Specialty | Code | License # | 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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