Michael S. Goodman, D. D. S.
Pediatric Dentistry · Willimantic, CT
UnclaimedD. D. S.NPI 1043275548
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2006-04-18
- Practice location
- Willimantic, CT
- Last NPPES update
- 2007-07-11
State licenses
- CT · Dentist · NPPES self-reportedListed on NPI record
- CT · Dentist · DentistExpiredthrough 2011
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.