Goodroe, Richard Neal

Goodroe, Richard Neal is an individual health care provider with primary practice located at 6185 Buford Hwy Building B-102, Norcross GA 30071-2350. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goodroe, Richard Neal can be contacted via phone (770) 448-8385.

Contact Information

Primary practice address
6185 Buford Hwy Building B-102 Norcross GA 30071-2350
Phone: (770) 448-8385
Fax: (770) 448-8386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7170 Georgia

Profile Details

NPI number 1538217674
LBN Legal business name Goodroe, Richard Neal
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
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 1538217674 NPPES
Georgia Other 4535168-JL GA WITHHOLDING I. D. NUMB

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