# ALAN GODEL D.D.S PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALAN GODEL D.D.S PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497900559
- **Legal business name:** ALAN GODEL D.D.S PA
- **Authorized official:** MR. ALAN ABRAHAM GODEL (DDS PA)
- **Authorized official phone:** (704) 847-4332

## Contact information

- **Practice address:** 417 WILLOW BROOK DR, MATTHEWS, NC 28105-1831
- **Practice address phone:** (704) 847-4332
- **Mailing address:** 417 WILLOW BROOK DR, MATTHEWS, NC 28105-1831
- **Mailing address phone:** (704) 847-4332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4736 | NC | — |
| 1223G0001X | General Practice Dentistry | 7564 | NC | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 03/19/2014