KURT GOODELL DDS NPI 1578811758

NPI Information

  • NPI: 1578811758
  • Provider Name: KURT GOODELL, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 228 E HOSPITAL RD
    FORT GORDON, GA
    ZIP 30905
  • Phone: (706) 787-5531

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NPI Details

Kurt Goodell, DDS is an endodontics dentist in Fort Gordon, GA. 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. Kurt Goodell, DDS NPI is 1578811758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

228 E HOSPITAL RD
FORT GORDON, GA
ZIP 30905-011
Phone: (706) 787-5531

The enumeration date for this NPI number is 8/21/2012 and was last updated on 11/21/2022.

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
11223E0200XDentistEndodontics61690KANSASNo
21223G0001XDentistGeneral Practice28236TEXASNo
31223E0200XDentistEndodontics28236TEXASNo
41223E0200XDentistEndodonticsDN122928GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DN122928OTHERGEORGIADENTAL LICENSE
210383OTHERKENTUCKYDENTAL LICENSE
361690OTHERKANSASDENTAL LICENSE
428236OTHERTEXASDENTAL LISCENSE

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: 11/21/2025

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