DR. GARY GERVAIS GOODELL


Address: 8901 Wisconsin Avenue, Bethesda, MD 20889-0001
Phone: 3012951831

DR. GARY GERVAIS GOODELL (NPI# 1467444117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467444117
Entity Type Individual
Full Name DR. GARY GERVAIS GOODELL
Credential D.D.S., M.S., M.A.
Practice Address 8901 Wisconsin Avenue
Bethesda
MD 20889-0001
Mailing Address 12214 Hollow Tree Ln
Fairfax
VA 22030-6246
Practice Telephone 3012951831
Practice Fax Number 3012955767
Mailing Telephone 7032669041
Enumeration Date 2005-08-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
6478 IA Dental Providers

Office Location

Street Address 8901 WISCONSIN AVENUE
City BETHESDA
State MD
Zip Code 20889-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417951088 Daniel Ricardo Elizondo Ophthalmology 8901 Wisconsin Avenue, Bethesda, MD 20889-5000 2005-06-10
1801418439 Walter Guillory II Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Bethesda, MD 20889 2020-05-18
1952920720 Aditya Patel Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Walter Reed Military Medical Center, Bethesda, MD 20889-0001 2020-04-13
1366094294 Julia Lynn Collazo Dentist 8901 Wisconsin Avenue, Building 9, 2nd Floor, Bethesda, MD 20889 2019-07-11
1417410515 Samuel Woodle Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Walter Reed Neurosurgery Residency, Bethesda, MD 20889 2019-04-08
1508328808 Benjamin Ficke Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Walter Reed National Medical Center, Bethesda, MD 20889-0001 2019-04-04
1740763093 Kattie Khadar Nurse Practitioner 8901 Wisconsin Avenue, Bethesda, MD 20814 2018-09-12
1528559945 Jonathan David Vignali Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Bethesda, MD 20889 2018-05-21
1669974150 Maria Park Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Pediatrics Walter Reed National Military Medical Center, Bethesda, MD 20889 2018-03-01
1265933949 Amanda Cain Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Walter Reed National Military Medical Center, Bethesda, MD 20889 2018-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457987034 Michael Franco Student in an Organized Health Care Education/Training Program Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 2020-03-16
1245862135 Kay Tomashek Pediatrics National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 2020-02-07
1104470657 Adam Pink Dentist 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 2019-08-01
1659939155 Matthew Heller Student in an Organized Health Care Education/Training Program Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 2019-05-30
1891258034 Jane Ann Crotteau Student in an Organized Health Care Education/Training Program Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 2019-04-12
1417434341 Andrea Baeder Dentist 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 2018-07-24
1942741723 John Vance Orthotist Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 2017-03-14
1790225704 Sylvia Best Pharmacist 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 2017-02-24
1255783767 Ryan Kaye Student in an Organized Health Care Education/Training Program Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 2016-07-08
1366861221 Tara Elizabeth Brown Internal Medicine 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 2014-04-08
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508125212 Manila P Joshi Dentist 10401 Old Georgetown Rd Ste 303, Bethesda, MD 20814-1911 2012-05-15
1558463828 Kathleen None Mcnally Dentist 8901 Wisconsin Avenue Bldg 2, 3rd Floor, Rm 3262, Naval Post Graduate School, Bethesda, MD 20889 2006-09-05
1205837093 Harvey Dwight Moss Dentist 8901 Wisconsin Blvd, Bethesda, MD 20889-0001 2005-08-03
1841632650 Michael Jay Tanenhaus Dentist 10215 Fernwood Rd, Suite 414, Bethesda, MD 20817-1106 2013-07-22
1962651133 Joseph Seunghwan Son Dentist 10401 Old Georgetown Rd, Suite 303, Bethesda, MD 20814-1911 2008-09-12
1750483400 Heidi Lee Moos Dentist National Naval Medical Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600 2006-09-02
1114937729 Edward Kenneth Gamson Dentist 10401 Old Georgetown Rd, Suite 405, Bethesda, MD 20814-1911 2006-08-08
1295710713 John Jeffrey Neal Dentist 8901 Rockville Pike, Bethesda, MD 20889-0001 2005-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801404157 Rct Endodontics of North Potomac, LLC Dentist 11906 Darnestown Rd Ste G, North Potomac, MD 20878-2200 2020-07-22
1750909651 Azad Dental Group Dentist 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 2020-07-08
1831758382 Georgetowne Park Endodontics Dentist 5846 Hubbard Dr, Rockville, MD 20852-4820 2019-06-09
1568021012 Endodontics of Gaithersburg, LLC Dentist 847 Quince Orchard Blvd Ste G, Gaithersburg, MD 20878-1677 2019-06-09
1295293553 Gary Reznik D.d.s., P.a. Dentist 1816 Emmorton Rd, Bel Air, MD 21015 2019-03-06
1649754482 Greater Maryland Endodontics, LLC Dentist 7676 New Hampshire Ave Ste 424, Takoma Park, MD 20912-7516 2018-09-18
1346730249 Alexis Joy Herring Dentist 29466 Pintail Dr Ste 16, Easton, MD 21601-9324 2018-05-16
1023510575 Advanced Endodontics Specialty Doctors Dentist 5802 Hubbard Dr, Rockville, MD 20852-4818 2018-03-01
1962903864 Quince Orchard Dental Specialists LLC Dentist 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 2018-02-26
1366963993 Rct Endodontics, LLC Dentist 804 Pershing Dr. #102, Silver Spring, MD 20910 2017-07-05
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Competitor

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City BETHESDA
Zip Code 20889

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Dataset Information

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.

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