Dr. Caleb Goodman, DMD
Dentist, General Practice in Phoenix, AZ. Individual provider (NPI-1).
NPI number1124437652
StatusActive
Last updated in NPPESAug 8, 2014
Details
- NPI
- 1124437652
- Entity type
- Individual (NPI-1)
- Name
- Dr. Caleb Goodman
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2014
- Last updated
- Aug 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D008966 | AZ | Yes |
Practice location
7440 W Thomas RdPhoenix, AZ 85033-5529
Phone 623-201-1325
Mailing address
7440 W Thomas RdPhoenix, AZ 85033-5529
Phone 623-201-1325
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