John Hunter Goddard III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009246 Issued in GA

Practice address

157 N Main St
Jonesboro, GA 30236-3568

Phone

(770) 478-1001

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013043066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363568",
            "telephone_number": "770-478-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363568",
            "telephone_number": "770-478-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "JOHN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jean Glenna, LPC, CPCS, MAC
• Megan Glorioso, DPT
• GMB Healthcare and Educational Services, LLC
• Gna Medical Care and Services LLC
• God Sent Transitional Housing
• Brittany Goins
• Patricia Lousie Goldsboro
• Good Ground Development Center
• Alan J. Gottlieb, MD
• Joanne Govan, MSW

• General Practice Dentistry in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.