Dustin Vinal Goodwin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6370849 Issued in UT

Practice address

75 E 1400 S
Garland, UT 84312-9316

Phone

(435) 257-7016

Fax

(435) 257-4590

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By 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)

Not 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.

• Dustin V. Goodwin D.D.S. P.C

  • General Practice Dentistry
  • Garland, UT
  • NPI 1679679435
  NPD (past) Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1952784902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E 1400 S",
            "address_2": "PO BOX 99",
            "city": "GARLAND",
            "state": "UT",
            "postal_code": "843129316",
            "telephone_number": "435-257-7016",
            "fax_number": "435-257-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 1400 S",
            "city": "GARLAND",
            "state": "UT",
            "postal_code": "843129316",
            "telephone_number": "435-257-7016",
            "fax_number": "435-257-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "DUSTIN",
        "middle_name": "VINAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "6370849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Bowcutt, APRN
• Chapman Telehealth
• Tara Lee Dalton, PA C
• Douglas C. Walker D.O., P.C.
• Dustin V. Goodwin D.D.S. P.C
• Teresa Ingram, M.S.;ATC;LAT
• Gracie Marie Moysh
• Michael Rasmussen
• Elizabeth Rhodes-Wood
• Samantha Roche, FNP

• Dentist in Garland, UT
• Providers in Garland, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.