# GODEL & ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GODEL & ASSOCIATES PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831052349
- **Legal business name:** GODEL & ASSOCIATES PLLC
- **Authorized official:** ERICA BEACH (OPERATION MANAGER)
- **Authorized official phone:** (704) 689-1412

## Contact information

- **Practice address:** 4550 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3518
- **Practice address phone:** (336) 738-0111
- **Mailing address:** 4550 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3518
- **Mailing address phone:** (336) 738-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 12/03/2025
- **Last updated:** 12/03/2025
