Organization
SCOTT R GOODOVE DDS PLC
Active
Other names
Goodove Oral Surgery & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ROBBINS GOODOVE DDS (CEO)
(757) 412-2002
Entity
Organization
Contact information
Practice address
1127 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2402
(757) 412-2002
(757) 412-2003
Mailing address
1127 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2402
(757) 412-2002
(757) 412-2003
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401410548
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
401410548
VA
Other
Enumeration date
02/10/2008
Last updated
05/23/2018
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