Brian James Goodwine, DDS | |
217 S 100 West, Monticello, UT 84535 | |
(435) 587-2528 | |
(435) 587-3585 |
Full Name | Brian James Goodwine |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 217 S 100 West, Monticello, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891857223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3601858903 (Utah) | Secondary |
122300000X | Dentist | 3601859922 (Utah) | Primary |
Entity Name | Utah Navajo Health System Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
Mailing Address | Practice Location Address |
---|---|
Brian James Goodwine, DDS Po Box 130, Montezuma Creek, UT 84534-0130 Ph: (435) 651-3700 | Brian James Goodwine, DDS 217 S 100 West, Monticello, UT 84535 Ph: (435) 587-2528 |
Gerald O Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 217 S 100 W, Monticello, UT 84535 Phone: 435-587-2528 Fax: 435-587-3585 | |
Dr. Nathan James Turnbow, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 South Main, Monticello, UT 84535 Phone: 435-587-5071 Fax: 435-587-5073 | |
Dr. Michael James Judi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 365 S North Creek Lane, Monticello, UT 84535 Phone: 580-574-7699 |