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ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION NPI 1811006067


NPI Information

NPI: 1811006067
Provider Name: ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8736 LAKE MURRAY BLVD
STE 108
SAN DIEGO, CA
ZIP 92119
Phone: (619) 697-6677
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ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION is a general practice dentist in San Diego, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION NPI is 1811006067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8736 LAKE MURRAY BLVD
STE 108
SAN DIEGO, CA
ZIP 92119
Phone: (619) 697-6677
Fax: (619) 697-6632

The provider's authorized official is Ashley Allen Goodman .
The authorized official title is Dentist Owner Ceo and has the following contact phone number (619) 697-6677.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeCA20628CALIFORNIAYes

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

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