MS. PAMELA GOODLIFFE (NPI# 1356418412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356418412 |
| Entity Type | Individual |
| Full Name | MS. PAMELA GOODLIFFE |
| Credential | DMD |
| Practice Address |
585 West Booth Lava Hot Springs ID 83246-0458 |
| Mailing Address |
Po Box 458 585 W Booth Lava Hot Springs ID 83246-0458 |
| Practice Telephone | 2087765929 |
| Practice Fax Number | 2087765011 |
| Mailing Telephone | 2087765929 |
| Mailing Fax Number | 2087765011 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D3845 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8070282 | 05 |
| Street Address |
585 WEST BOOTH |
| City | LAVA HOT SPRINGS |
| State | ID |
| Zip Code | 83246-0458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437685799 | Road To Recovery, Inc. | Substance Abuse Rehabilitation Facility | 165 W. Main, Lava Hot Springs, ID 83246 | 2017-05-05 |
| 1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
| 1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
| 1851589139 | John C. Fleming | Social Worker | 165 West Main Street, Lava Hot Springs, ID 83246 | 2007-10-11 |
| 1427057926 | Health West, Inc. | Family Medicine | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-07-18 |
| 1194366013 | Tina Guedes | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2019-10-02 |
| 1699767004 | Helene P Edmo | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-08-22 |
| 1437371812 | Robert Brent Hubbard | Radiology | 12888 Porcupine Pass, Lava Hot Springs, ID 83246-0834 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437685799 | Road To Recovery, Inc. | Substance Abuse Rehabilitation Facility | 165 W. Main, Lava Hot Springs, ID 83246 | 2017-05-05 |
| 1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
| 1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
| 1851589139 | John C. Fleming | Social Worker | 165 West Main Street, Lava Hot Springs, ID 83246 | 2007-10-11 |
| 1437371812 | Robert Brent Hubbard | Radiology | 12888 Porcupine Pass, Lava Hot Springs, ID 83246-0834 | 2007-05-03 |
| 1427057926 | Health West, Inc. | Family Medicine | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-07-18 |
| 1194366013 | Tina Guedes | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2019-10-02 |
| 1699767004 | Helene P Edmo | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-08-22 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
| City | LAVA HOT SPRINGS |
| Zip Code | 83246 |
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| 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.