# SCOTT R GOODOVE DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodove Oral Surgery & Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043498231
- **Authorized official:** DR. SCOTT ROBBINS GOODOVE DDS (CEO)
- **Authorized official phone:** (757) 412-2002

## Contact information

- **Practice address:** 1127 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2402
- **Practice address phone:** (757) 412-2002
- **Practice address fax:** (757) 412-2003
- **Mailing address:** 1127 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2402
- **Mailing address phone:** (757) 412-2002
- **Mailing address fax:** (757) 412-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401410548 | VA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 401410548 | VA | — |

## Other

- **Enumeration date:** 02/10/2008
- **Last updated:** 05/23/2018