Individual
DR. DAVID BARNETT GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3755 76TH ST, JACKSON HEIGHTS, NY 11372-6507
(718) 429-6116
Mailing address
3755 76TH ST, JACKSON HEIGHTS, NY 11372-6507
(718) 429-6116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
026422
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00620939
—
NY
01
—
026422
LICENSE NUMBER
NY
Enumeration date
12/16/2006
Last updated
07/08/2007
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