Individual
DR. JOHN LEWIS GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
127 TELFAIR ST, AUGUSTA, GA 30901-2590
(706) 922-0600
(706) 922-0603
Mailing address
PO BOX 2344, AUGUSTA, GA 30903-2344
(706) 922-0600
(706) 922-0603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
40
SC
1223G0001X
General Practice Dentistry
Primary
DN013810
GA
1223G0001X
General Practice Dentistry
DS018073L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512859848
—
GA
05
—
ZG3810
—
SC
Enumeration date
11/30/2007
Last updated
01/30/2024
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