Organization
RICHARD A GOODMAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY H GOODMAN DMD (OWNER)
(413) 733-9400
Entity
Organization
Contact information
Practice address
3455 MAIN STREET, SUITE 102, SPRINGFIELD, MA 01107
(413) 733-9490
(413) 731-6878
Mailing address
3455 MAIN STREET, SUITE 102, SPRINGFIELD, MA 01107
(413) 733-9490
(413) 731-6878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9233
MA
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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