Dean Allen Goodall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN7860 Issued in FL

Practice address

114 Timberlachen Cir
Lake Mary, FL 32746-3395

Phone

(407) 330-3801

Fax

(407) 330-5739

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Mary Dental PA

  • General Practice Dentistry
  • Lake Mary, FL
  • NPI 1639297732
  NPD (past)
• Precision Dental PA

  • General Practice Dentistry
  • Lake Mary, FL
  • NPI 1124215892
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154427292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TIMBERLACHEN CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463395",
            "telephone_number": "407-330-3801",
            "fax_number": "407-330-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 TIMBERLACHEN CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463395",
            "telephone_number": "407-330-3801",
            "fax_number": "407-330-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALL",
        "first_name": "DEAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Robert Gonzalez
• Kaeleigh Gonzalez
• Luis F Gonzalez, DC
• Donna A Good, DOM, AP
• Karissa Ann Good, BEHAVIOR TECHNICIAN
• Sydney Goodijohn
• Aaron M. Goodwin, D.O., D.M.D.
• Stephanie Goodwin, PT
• Gordon Home Health Ministries Inc
• Judith C Gorospe

• General Practice Dentistry in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• General Practice Dentistry in Florida

• 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.