Samuel Goodloe Iii Dds Md Pllc | |
1321 Millersport Hwy Suite 201 Williamsville NY 14221-2900 | |
(716) 626-0001 | |
Not Available |
Full Name | Samuel Goodloe Iii Dds Md Pllc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1321 Millersport Hwy, Williamsville, New York |
Authorized Official Name and Position | Sanuel Goodloe (OWNER) |
Authorized Official Contact | 7166260001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Samuel Goodloe Iii Dds Md Pllc 1321 Millersport Hwy Suite 201 Williamsville NY 14221-2900 Ph: (716) 626-0001 | Samuel Goodloe Iii Dds Md Pllc 1321 Millersport Hwy Suite 201 Williamsville NY 14221-2900 Ph: (716) 626-0001 |
NPI Number | 1518242320 |
---|---|
Provider Enumeration Date | 10/13/2011 |
Last Update Date | 10/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518242320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 044038 (New York) | Primary |
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