DR. AMANDA ALEXIS GOODMAN D.D.S. M.S.. NPI 1174856751

NPI Information

NPI: 1174856751
Provider Name: DR. AMANDA ALEXIS GOODMAN, D.D.S., M.S..
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
5111 EHRLICH RD
SUITE 130
TAMPA, FL
ZIP 33624
Phone: (813) 964-8833
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DR. Amanda Alexis Goodman, D.D.S., M.S.. is an endodontics dentist in Tampa, FL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Amanda Alexis Goodman, D.D.S., M.S.. NPI is 1174856751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5111 EHRLICH RD
SUITE 130
TAMPA, FL
ZIP 33624-075
Phone: (813) 964-8833
Fax: (813) 964-8883

The enumeration date for this NPI number is 9/14/2009 and was last updated on 6/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		019026365	ILLINOIS	No
2	1223E0200X	Dentist	Endodontics	021002124	ILLINOIS	No
3	1223E0200X	Dentist	Endodontics	DN18567	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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