Alan Godel D.D.S PA
Organization Active NPI General Practice Dentistry · Matthews, NC
NPI 1497900559 · NPPES record last updated Mar 19, 2014
Key facts
- NPI
- 1497900559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7564 (NC)
- Legal business name
- ALAN GODEL D.D.S PA
- Practice address
- 417 Willow Brook Dr
Matthews, NC 28105-1831 - Phone
- (704) 847-4332
- NPI assigned
- Nov 17, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- ALAN GODEL D.D.S PA
Authorized official
- Name
- Mr. Alan Abraham Godel
- Title
- DDS PA
- Phone
- (704) 847-4332
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Alan a Godel DDS
- Part of
- Alan a Godel DDS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 7564 | NC | Yes |
| General Practice Dentistry |
1223G0001X | 4736 | NC |
Addresses
Primary practice location
417 Willow Brook Dr
Matthews, NC 28105-1831
Mailing address
417 Willow Brook Dr
Matthews, NC 28105-1831
Phone (704) 847-4332
Other providers in Matthews, NC
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- Rakan Mazen Al-Sultani
- Ammar Ahmed Alamarie
- Brianna Albers
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All providers in Matthews, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 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.