DR. LEONARD J GOODGAME JR. (NPI# 1578638532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578638532 |
| Entity Type | Individual |
| Full Name | DR. LEONARD J GOODGAME JR. |
| Credential | DDS |
| Practice Address |
207 West Commerce Aberdeen MS 39730 |
| Mailing Address |
Po Box 132 Aberdeen MS 39730 |
| Practice Telephone | 6623692811 |
| Practice Fax Number | 6623699810 |
| Mailing Telephone | 6623692811 |
| Mailing Fax Number | 6623699810 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1014-61 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 061000 | 05 |
| Street Address |
207 WEST COMMERCE |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| 1235292939 | Curries Family Care Pharmacy of Aberdeen,inc | Pharmacist | 314 Highway 145 N, Aberdeen, MS 39730-2310 | 2006-12-18 |
| Find all providers in zip 39730 | ||||
| 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 |
|---|---|---|---|---|
| 1972159143 | Junho Choi | Dentist | 3307 7th Ave Se Ste 108, Aberdeen, SD 57401-6614 | 2019-08-14 |
| 1346794153 | Fettig and Drake Dds PC | Dentist | 1409 6th Ave Se Ste 8, Aberdeen, SD 57401-4950 | 2016-08-10 |
| 1649654237 | Sd Dental Austriaco PC | Dentist | 3307 7th Ave Se, Suite 108, Aberdeen, SD 57401-6613 | 2015-07-14 |
| 1851775514 | Harbor Kids Dental Pllc | Dentist | 216 W Heron St, Aberdeen, WA 98520-6225 | 2015-07-13 |
| 1295032969 | George M. Whitehead D.d.s., Ps | Dentist | 222 East First Street, Suite B, Aberdeen, WA 98520 | 2011-02-16 |
| 1750609822 | Robert Joseph Benzell | Dentist | 18 W Aspen Way, Aberdeen, NJ 07747-1905 | 2010-05-13 |
| 1538394937 | Ryan Pannorfi | Dentist | 1323 Highway 34, Aberdeen, NJ 07747-1954 | 2009-05-28 |
| 1932364015 | Amy M Scepaniak | Dentist | 216 6th Ave Se, Aberdeen, SD 57401-6148 | 2008-07-28 |
| 1801066493 | James Pearson Mcvaugh | Dentist | 138 N Meridian St, Aberdeen, MS 39730-2636 | 2008-03-10 |
| 1518088368 | Dennis Paul Carr | Dentist | 15 S Parke St, Suite 100, Aberdeen, MD 21001-4520 | 2007-04-02 |
| Find all providers in ABERDEEN | ||||
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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.