# GOODE AND JOHNSON DENTISTRY PARTENRSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871739540
- **Authorized official:** DR. RANDALL R GOODE D.D.S. (GENERAL DENTIST)
- **Authorized official phone:** (586) 725-5500

## Contact information

- **Practice address:** 34301 23 MILE RD, SUITE 140A, CHESTERFIELD, MI 48047-4432
- **Practice address phone:** (586) 725-5500
- **Practice address fax:** (586) 725-8172
- **Mailing address:** 34301 23 MILE RD, SUITE 140A, CHESTERFIELD, MI 48047-4432
- **Mailing address phone:** (586) 725-5500
- **Mailing address fax:** (586) 725-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901012324 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 2901019573 | MI | — |

## Other

- **Enumeration date:** 12/30/2008
- **Last updated:** 12/30/2008