Goodell, Kurt

Goodell, Kurt is an individual health care provider with primary practice located at 228 E Hospital Rd , Fort Gordon GA 30905-6011. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is his primary health care specialty. Goodell, Kurt can be contacted via phone (706) 787-5531.

Contact Information

Primary practice address
228 E Hospital Rd Fort Gordon GA 30905-6011
Phone: (706) 787-5531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 61690 Kansas
Dental Providers / General Practice 1223G0001X 28236 Texas
Dental Providers / Endodontics 1223E0200X 28236 Texas
Dental Providers / Endodontics 1223E0200X DN122928 Georgia

Profile Details

NPI number 1578811758
LBN Legal business name Goodell, Kurt
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2012
Last updated Nov 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578811758 NPPES
Georgia Other DN122928 DENTAL LICENSE
Georgia Other 10383 DENTAL LICENSE
Georgia Other 61690 DENTAL LICENSE
Georgia Other 28236 DENTAL LICENSE

Popular Providers