Individual
JAMIE D GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 AVENUE E, CARRIZOZO, NM 88301
(505) 648-2839
(505) 648-4113
Mailing address
5901 HARPER DR NE, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87109-3587
(505) 823-8528
(505) 823-8555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1324
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84285
—
NM
Enumeration date
07/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us