Individual
DR. ROBERT WILLIAM GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
42430 WEST TWELVE MILE ROAD, SUITE 101, NOVI, MI 48377-3028
(248) 465-7500
(248) 465-7501
Mailing address
8050 GREENLAWN CT, COMMERCE TWP, MI 48382
(248) 465-7500
(248) 465-7501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-07893
IA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901017623
MI
Other
Enumeration date
11/01/2006
Last updated
03/23/2022
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