# GOODWIN ORAL & FACIAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1871957043
- **Authorized official:** DR. WILLIAM THOMAS GOODWIN DDS (PRESIDENT)
- **Authorized official phone:** (540) 705-0195

## Contact information

- **Practice address:** 3200 PEOPLES DR, STE 210, HARRISONBURG, VA 22801-7631
- **Practice address phone:** (540) 705-0195
- **Practice address fax:** (540) 615-5704
- **Mailing address:** 3200 PEOPLES DR, SUITE 210, HARRISONBURG, VA 22801-7631
- **Mailing address phone:** (540) 705-0195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401414700 | VA | Yes |

## Other

- **Enumeration date:** 04/13/2016
- **Last updated:** 05/10/2016