Individual
DR. ERNEST JEROME GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPA
Contact information
Practice address
950 S MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303-5351
(910) 483-2633
(910) 485-2841
Mailing address
950 S MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303-5351
(910) 483-2633
(910) 485-2841
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104771
NC
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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