Individual
DR. M. DEREK GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2937 ESSARY DR, SUITE 1, KNOXVILLE, TN 37918-2465
(865) 688-6051
(865) 689-2597
Mailing address
2937 ESSARY DR, SUITE 1, KNOXVILLE, TN 37918-2465
(865) 688-6051
(865) 689-2597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS7276TN
TN
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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