Individual
DR. ROBERT I. GOODMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
517 LEGION DR, HARRODSBURG, KY 40330-2186
(859) 734-7709
(859) 734-7700
Mailing address
517 LEGION DR, HARRODSBURG, KY 40330-2186
(859) 734-7709
(859) 734-7700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263217
TRIGON BCBS
KY
01
—
6563
LICENSE
KY
01
—
802932
UNITED CONCORDIA
KY
01
—
E933
BCBS FEDERAL
KY
Enumeration date
02/21/2007
Last updated
07/08/2007
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