Clifford T. Goodwin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

401006165 Issued in VA

Legal business name

CLIFFORD T. GOODWIN, DDS

Doing business as

a division of Atlantic Dental Care

Practice address

12610 Patrick Henry Dr
Suite G
Newport News, VA 23602-9538

Phone

(757) 930-3744

Fax

(757) 930-2726

NPI assigned

Oct 31, 2014

Last updated

Oct 31, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ATLANTIC DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Dr. Clifford Thomas Goodwin, D.D.S.NPI 1841219276

Title

Dentist

Phone

(757) 930-3744

Specialties & licenses 1

Addresses

Other names 1

• a division of Atlantic Dental Care Doing business as

Part of

Tracy S Oliver DDS PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clifford T Goodwin, D.D.S.

  • Dentist
  • Newport News, VA
  • NPI 1841219276
  NPD (past) Authorized official

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1073918165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 PATRICK HENRY DR",
            "address_2": "SUITE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029538",
            "telephone_number": "757-930-3744",
            "fax_number": "757-930-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 PATRICK HENRY DR",
            "address_2": "SUITE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029538",
            "telephone_number": "757-930-3744",
            "fax_number": "757-930-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD T. GOODWIN, DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-930-3744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "401006165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew T. Claus
• Alexsis Clay
• Clear Speech Now
• Clearwater Health Service
• Tina Clements
• Clinical Associates of Tidewater
• Clinical Services, LLC (Clinical Crisis Services LLC)
• Rose J Cloud, MD
• Coastal Care Home LLC
• Coastal Medical and Psychiatric Services Inc.

• Dentist in Newport News, VA
• Providers in Newport News, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.