Goodwin, Robert Clark
Goodwin, Robert Clark is an sole proprietor health care provider with primary practice located at 6834 East Genesee Street , Fayetteville NY 13066. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goodwin, Robert Clark can be contacted via phone (315) 445-1540.Contact Information
Primary practice address
6834 East Genesee Street
Fayetteville NY 13066
Phone: (315) 445-1540
Fax: (315) 445-1544
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 043969 | New York |
Profile Details
NPI number | 1730276502 |
---|---|
LBN Legal business name | Goodwin, Robert Clark |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 5th, 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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