William Edward Godmare, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9169 Issued in MN

Practice address

108 N 3Rd Ave
Virginia, MN 55792-2519

Phone

(218) 741-9251

Fax

(218) 741-1747

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Associates, LTD.

  • General Practice Dentistry
  • Virginia, MN
  • NPI 1174751531
  NPD (past) Authorized official
• Dental Associates of Virginia PC

  • Dentist
  • Virginia, MN
  • NPI 1881192755
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700947033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N 3RD AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-741-9251",
            "fax_number": "218-741-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 3RD AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922519",
            "telephone_number": "218-741-9251",
            "fax_number": "218-741-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODMARE",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Christine Gettle
• Danica D Giese
• Jessica May Gifford, PA-C
• Susan M Gillespie, MS LP
• Mackenzie Gilliam
• Gregory Edward Golen, LADC
• Wendy Goodman
• Grand St Paul CVS LLC (CVS Pharmacy #16290)
• Allyssa Marie Gregorich
• Leah Griffin

• Dentist in Virginia, MN
• Providers in Virginia, MN by specialty
• Dentist in Minnesota

• 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.