Catherine Good
Individual provider Active NPI General Practice Dentistry · Biggsville, IL
NPI 1902970536 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902970536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Practice address
- RR 1 Box 99
Biggsville, IL 61418-9718 - Phone
- (309) 627-9200
- Fax
- (309) 627-9202
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 019026533 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Dental Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Yes |
Addresses
Primary practice location
RR 1 Box 99
Biggsville, IL 61418-9718
Mailing address
RR 1 Box 99
Biggsville, IL 61418-9718
Phone (309) 627-9200
Other providers in Biggsville, IL
- Kendrah Adams
- Shaila Ayer
- Biggsville Ambulance Service
- Good Dental Care
- Brian Anthony Good
- Miranda J Gullberg
- Mallory Nelson
- Paige Morgan Torrance
- West Central Cusd 235
All providers in Biggsville, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.