Organization
ERNEST J. GOODSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST JEROME GOODSON DDS (ORTHODONTIST)
(910) 483-2633
Entity
Organization
Contact information
Practice address
950 SOUTH MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303
(910) 483-2633
(910) 485-2841
Mailing address
950 SOUTH MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303
(910) 483-2633
(910) 485-2841
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
104771
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993276
—
NC
Enumeration date
02/07/2008
Last updated
06/21/2018
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