Individual
HEATHER LEA ANN GOODNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6580
Mailing address
16895 S 337TH EAST AVE, PORTER, OK 74454-5920
(918) 822-0729
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3726
OK
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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