# GODEL & ASSOCIATES TN PLLC

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

## Provider details

- **NPI number:** 1962312645
- **Authorized official:** ERICA BEACH (OPERATIONS MANAGER)
- **Authorized official phone:** (704) 689-1412

## Contact information

- **Practice address:** 5357 MOUNT VIEW RD, ANTIOCH, TN 37013-2308
- **Practice address phone:** (704) 689-1412
- **Practice address fax:** (703) 626-3096
- **Mailing address:** 417 WILLOW BROOK DR, MATTHEWS, NC 28105-1831
- **Mailing address phone:** (704) 689-1412
- **Mailing address fax:** (704) 626-3096

## 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:** 09/08/2026
- **Last updated:** 09/08/2026