Dr Patrick Adam Goodman, DMD is a
Dentist - General Practice based in Lakeside, Arizona. Dr Patrick Adam Goodman is licensed to practice in Arizona (license number 5250) and his current practice location is
5060 Highway 260, Lakeside, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 532-4451.
NPI number for Dr Patrick Adam Goodman is 1801852850 and his current mailing address is Po Box 4084, Show Low, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801852850.
Healthcare Provider's Profile
Full Name | Dr Patrick Adam Goodman |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 5060 Highway 260, Lakeside, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801852850
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 02/09/2010
Medical Identifiers
Medical identifiers for Dr Patrick Adam Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801852850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5250 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Patrick Adam Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Patrick Adam Goodman, DMD Po Box 4084, Show Low, AZ 85902-4084 Ph: (928) 532-4451 | Dr Patrick Adam Goodman, DMD 5060 Highway 260, Lakeside, AZ 85929-5150 Ph: (928) 532-4451 |
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