Individual
DR. BENJAMIN GAIL GOODIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3100 EAST JACKSON BLVD., JACKSON, MO 63755
(573) 243-5200
(573) 243-7571
Mailing address
3100 EAST JACKSON BLVD., JACKSON, MO 63755
(573) 243-5200
(573) 243-7571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13049
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400318515
—
MO
Enumeration date
04/25/2012
Last updated
04/25/2012
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