Goode Shockley Wier III, D.D.S.
Individual provider Active NPI Dentist · St Paris, OH
NPI 1518924703 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1518924703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30019489 (OH)
- Practice address
- 114 S Springfield St
St Paris, OH 43072-9522 - Phone
- (937) 663-9801
- Fax
- (937) 663-9801
- NPI assigned
- Apr 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30019489 | OH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30019489 | OH | Yes |
Addresses
Primary practice location
114 S Springfield St
St Paris, OH 43072-9522
Mailing address
114 S Springfield St
PO Box 622
St Paris, OH 43072-9522
Phone (937) 663-9801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0931979 | Medicaid | OH |
Other providers in St Paris, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.