Daniel T Goodman DDS LLC
NPI 1124284658ActiveOrganization· Dentist, General Practice· Bolivar, MO
Dentist, General Practice in Bolivar, Missouri, registered in NPPES in August 2008. The authorized official on file is Daniel T. Goodman, DDS, Doctor Owner.
Overview
| NPI | 1124284658 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2008 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2005015020 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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