Merle Franklin Godfrey III, DDS
Individual provider Active NPI General Practice Dentistry · Loomis, CA
NPI 1003004698 · NPPES record last updated Apr 18, 2014
Key facts
- NPI
- 1003004698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 38684 (CA)
- Practice address
- 3669 Taylor Rd
#2178
Loomis, CA 95650-7400 - Phone
- (916) 660-0907
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38684 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38684 | CA | Yes |
Addresses
Primary practice location
3669 Taylor Rd
#2178
Loomis, CA 95650-7400
Mailing address
PO Box 2178
Loomis, CA 95650-2178
Other providers in Loomis, CA
- Karen Lynn Fullerton
- Darla Lynn Gale
- Rebecca Garbi
- Donna Gilreath
- Leslie Ann Giovannoni
- Gold Mountain Transport LLC
- Gary Alan Gramm
- Patricia Alexandra Green
- Erica Gugielmi
- Annette Gustafsson
All providers in Loomis, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.