Dr. Charles Lindy Goodwin, DDS
Dentist, General Practice in Okalahoma City, OK. Individual provider (NPI-1).
NPI number1477520237
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1477520237
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Lindy Goodwin
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3935 | OK | Yes |
Practice location
10001 S PennM240
Okalahoma City, OK 73159
Phone 405-691-0836 · Fax 405-691-0480
Mailing address
10612 Faiway AveOklahoma City, OK 73170
Phone 405-691-3048 · Fax 405-691-0480
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