Goodloe Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2942-96 Issued in MS

Legal business name

GOODLOE DENTAL, P.A.

Practice address

1207 W Peace St
Canton, MS 39046-9037

Phone

(601) 859-9595

Fax

(601) 859-9395

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Erika Goodloe, D.M.D.

Title

President

Phone

(601) 859-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erika Lynn Coleman-Goodloe, D.M.D.

  • General Practice Dentistry
  • Canton, MS
  • NPI 1063427961
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1073892576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460449",
            "telephone_number": "601-859-9595",
            "fax_number": "601-859-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469037",
            "telephone_number": "601-859-9595",
            "fax_number": "601-859-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLOE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "GOODLOE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-859-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2942-96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660220",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gastrointestinal Associates, PA
• Anh Giang, O.D.
• Anita Lasheryl Gibson
• Goel Diagnostic
• Parvesh K Goel, M.D.
• Austin Taylor Goodman, PT
• Brittannie Drake Goodman, LCSW
• Grace Counseling PLLC
• Graceful Journeys LLC
• Katina Grant, FNP-C

• General Practice Dentistry in Canton, MS
• Providers in Canton, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.