Individual
DR. GOODE SHOCKLEY WIER III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
114 S SPRINGFIELD ST, ST PARIS, OH 43072-9522
(937) 663-9801
(937) 663-9801
Mailing address
114 S SPRINGFIELD ST, PO BOX 622, ST PARIS, OH 43072-9522
(937) 663-9801
(937) 663-9801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30019489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0931979
—
OH
Enumeration date
04/30/2006
Last updated
07/08/2007
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