SCOTT R GOODOVE DDS PLC (NPI# 1043498231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043498231 |
| Entity Type | Organization |
| Organization Name | SCOTT R GOODOVE DDS PLC |
| Other Organization Name | GOODOVE ORAL SURGERY & DENTAL IMPLANTS |
| Practice Address |
1127 First Colonial Rd Virginia Beach VA 23454-2402 |
| Practice Telephone | 7574122002 |
| Practice Fax Number | 7574122003 |
| Mailing Telephone | 7574122002 |
| Mailing Fax Number | 7574122003 |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | DR. SCOTT ROBBINS GOODOVE (CEO) |
| Authorized Official Telephone | 7574122002 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
401410548 | VA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401410548 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Goodove Oral Surgery & Dental Implants | Doing Business As Name - Organization |
| Street Address |
1127 FIRST COLONIAL RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672905 | Zachary James Berry | Dentist | 1127 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2006-01-09 |
| 1790848711 | Philip Joseph Pandolfi | Dentist | 1127 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2006-12-19 |
| 1639149834 | Scott Robbins Goodove | Dentist | 1127 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942539994 | James Antwan Gray | Dentist | 2875 Sabre St, Suite 260, Virginia Beach, VA 23452-7365 | 2009-12-21 |
| 1407867450 | Stanley John Mason | Dentist | 3145 Virginia Beach Blvd Ste 206, Virginia Beach, VA 23452-6950 | 2006-08-11 |
| 1740250430 | Caroline Marie Webber | Dentist | 2116 Mccomas Way, Virginia Beach, VA 23445 | 2006-01-25 |
| 1881672905 | Zachary James Berry | Dentist | 1127 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2006-01-09 |
| 1821079302 | Shaun B Rai | Dentist | 5720 Greenwich Rd, Virginia Beach, VA 23462-6518 | 2005-11-10 |
| 1447231337 | Melvin L Ford IIi | Dentist | 2875 Sabre Street, Suite 260, Virginia Beach, VA 23452 | 2005-11-08 |
| 1952302499 | Mona Marie Moore-meaux | Dentist | 4433 Salem Springs Way, Virginia Beach, VA 23456-1495 | 2005-08-09 |
| 1265929913 | Trent P Conelias Dds, PC | Dentist | 6033 Providence Rd, Virginia Beach, VA 23464-3815 | 2018-04-18 |
| 1992027676 | Coastal Virginia Oral and Maxillofacial Surgery, PC | Dentist | 3720 Holland Rd, Suite 100, Virginia Beach, VA 23452-2859 | 2010-02-22 |
| 1861688202 | Mid Atlantic Implant and Oral Surgery Center P.C. | Dentist | 3145 Virginia Beach Blvd, Suite 206, Virginia Beach, VA 23452-6950 | 2007-09-19 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on SCOTT R GOODOVE DDS PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.