NPI 1477734598 · live from the CMS NPI Registry
Michael D Goodwin, dds, ms
Dentist, Orthodontics and Dentofacial Orthopedics in Crown Point, IN. National Provider Identifier 1477734598, active.
NPI record
| NPI | 1477734598 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 11045 Broadway, Suite B, Crown Point, IN 46307 |
| Practice phone | 219-662-1200 |
| Mailing address | 11045 Broadway, Crown Point, IN 46307 |
| Enumerated | November 16, 2007 |
| Last updated | November 16, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 7552 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.