Organization
PEDIATRIC DENTISTRY OF STEELE CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID GOODMAN DDS (PRESIDENT/OWNER)
(704) 714-5380
Entity
Organization
Contact information
Practice address
13521 STEELECROFT PARKWAY, SUITE 100, CHARLOTTE, NC 28108
(704) 714-5380
Mailing address
13521 STEELECROFT PARKWAY, SUITE 100, CHARLOTTE, NC 28108
(704) 714-5380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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