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Contact Information

BENJAMIN G GOODIER, DMD
3100 EAST JACKSON BLVD.
JACKSON, MO63755
 Phone: 573-243-5200
 Fax: 573-243-7571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BENJAMIN G GOODIER · (Male)

NPI Number 1154689321
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/25/2012
Last updated 04/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 13049
  • MO Medicaid 400318515
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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