Glenn C Goodrich DDS Ms Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GLENN C GOODRICH DDS MS INC

Practice address

34501 Aurora Rd
Ste 305
Solon, OH 44139

Phone

(440) 248-4825

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Glenn Charles Goodrich, DDS MSNPI 1578718672

Title

President Owner

Phone

(440) 248-2825

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Charles Goodrich, M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Solon, OH
  • NPI 1578718672
  NPD (past) Authorized official
• Mindy Jill Streem, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Solon, OH
  • NPI 1750567673
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891813887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD",
            "address_2": "STE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "44139",
            "telephone_number": "440-248-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD",
            "address_2": "STE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "44139",
            "telephone_number": "440-248-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN C GOODRICH DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "440-248-2825",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maxwell Glick, DDS
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• Monica Amy Goetz, OTR/L

• Orthodontics and Dentofacial Orthopedics Dentistry in Solon, OH
• Providers in Solon, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.