| Samuel Goodloe Iii Dds Md Pllc | |
|
1321 Millersport Hwy Suite 201 Williamsville NY 14221-2900 | |
| (716) 626-0001 | |
| Not Available |
| Full Name | Samuel Goodloe Iii Dds Md Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1321 Millersport Hwy, Williamsville, New York |
| Authorized Official Name and Position | Sanuel Goodloe (OWNER) |
| Authorized Official Contact | 7166260001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Goodloe Iii Dds Md Pllc 1321 Millersport Hwy Suite 201 Williamsville NY 14221-2900 Ph: (716) 626-0001 | Samuel Goodloe Iii Dds Md Pllc 1321 Millersport Hwy Suite 201 Williamsville NY 14221-2900 Ph: (716) 626-0001 |
| NPI Number | 1518242320 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518242320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 044038 (New York) | Primary |
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