# CLIFFORD T. GOODWIN, DDS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC DENTAL CARE
- **Other names:** a division of Atlantic Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073918165
- **Legal business name:** ATLANTIC DENTAL CARE
- **Authorized official:** DR. CLIFFORD THOMAS GOODWIN D.D.S. (DENTIST)
- **Authorized official phone:** (757) 930-3744

## Contact information

- **Practice address:** 12610 PATRICK HENRY DR, SUITE G, NEWPORT NEWS, VA 23602-9538
- **Practice address phone:** (757) 930-3744
- **Practice address fax:** (757) 930-2726
- **Mailing address:** 12610 PATRICK HENRY DR, SUITE G, NEWPORT NEWS, VA 23602-9538
- **Mailing address phone:** (757) 930-3744
- **Mailing address fax:** (757) 930-2726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 401006165 | VA | Yes |

## Other

- **Enumeration date:** 10/31/2014
- **Last updated:** 10/31/2014