DUSTIN V. GOODWIN D.D.S. P.C (NPI# 1679679435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679679435 |
| Entity Type | Organization |
| Organization Name | DUSTIN V. GOODWIN D.D.S. P.C |
| Practice Address |
75 E 1400 S Garland UT 84312-9316 |
| Mailing Address |
75 E 1400 S Po Box 99 Garland UT 84312-9316 |
| Practice Telephone | 4352577016 |
| Practice Fax Number | 4352574590 |
| Mailing Telephone | 4352577016 |
| Mailing Fax Number | 4352574590 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | DR. DUSTIN VINAL GOODWIN (PRESIDENT) |
| Authorized Official Telephone | 4352577016 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-3532 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA/TRICARE | 1319810 | 01 | |
| BLUE CROSS | 6H429 | 01 | |
| ID | 806174600 | 05 |
| Street Address |
75 E 1400 S |
| City | GARLAND |
| State | UT |
| Zip Code | 84312-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588608087 | Ross F Stokes | Dentist | 75 E 1400 S, Garland, UT 84312-9316 | 2006-06-15 |
| 1952784902 | Dustin Vinal Goodwin | Dentist | 75 E 1400 S, Garland, UT 84312-9316 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429906 | Sarah Lynn Winter | Pediatrics | 50 North Medical Drive, Division of General Pediatrics, Salt Lake City, UT 84312 | 2005-09-27 |
| 1821095142 | Douglas C Walker | Family Medicine | 300 W 1440 S, Garland, UT 84312 | 2005-07-01 |
| 1417581190 | Christopher Scott Wiggins | Registered Nurse | 300 W 1400 S, Garland, UT 84312-9100 | 2020-03-02 |
| 1487056339 | Michael Rasmussen | Nurse Practitioner | 300 W 1400 S, Garland, UT 84312-9100 | 2014-09-23 |
| 1992090104 | Alysha A. Stokes | Nurse Practitioner | 300 W 1400 S, Garland, UT 84312-9100 | 2011-06-15 |
| 1306843750 | Douglas C. Walker D.o., P.C. | Family Medicine | 300 W 1400 S, Garland, UT 84312-9393 | 2005-06-30 |
| 1932195682 | Bear River Medical Arts PC | Family Medicine | 300 W 1400 S, Garland, UT 84312-9393 | 2005-09-27 |
| 1770579146 | Tara Lee Dalton | Physician Assistant | 300 W 1400 S, Garland, UT 84312-9393 | 2005-09-21 |
| 1215922919 | Jan-erik Schow | Family Medicine | 300 W 1400 S, Garland, UT 84312-9393 | 2005-09-19 |
| 1447850755 | Karen Bowcutt | Registered Nurse | 245 W 860 S, Garland, UT 84312-9431 | 2020-10-27 |
| Find all providers in zip 84312 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938407 | Craig R Baginski, Dds Inc | Dentist | 4433 Naaman Forest Blvd, Garland, TX 75040 | 2018-07-12 |
| 1124478375 | Nisha Liz John P.l.l.c | Dentist | 3046 Lavon Drive, Suite 125,127, Garland, TX 75040 | 2016-06-20 |
| 1497117014 | Hue Dental Pllc | Dentist | 5814 N Jupiter Rd, Suite 199, Garland, TX 75044 | 2016-03-23 |
| 1922474345 | Wai Mei Lee | Dentist | 1309 Belt Line Rd, Unit A, Garland, TX 75040 | 2015-08-19 |
| 1497138697 | Zachary Ryan Kingsberg | Dentist | 565 W Oates Rd Ste 150, Garland, TX 75043-5462 | 2015-07-07 |
| 1740663079 | Kendall Lynn Baginski | Dentist | 709 Ballybunion Cir, Garland, TX 75044-5125 | 2015-07-06 |
| 1518371897 | Behram Shah | Dentist | 2006 N Garland Ave, Garland, TX 75040-3302 | 2014-06-16 |
| 1205265386 | Modern Sleep Solutions Pllc | Dentist | 1215 Thomasville Ct., Garland, TX 75044 | 2013-11-08 |
| 1245671163 | South Texas Dental Associates, Lp | Dentist | 2121 W Walnut St, Garland, TX 75042-6783 | 2013-07-08 |
| 1922341643 | Cornerstone Family Dentistry, Pllc | Dentist | 3232 Broadway Blvd Ste G, Garland, TX 75043-1563 | 2013-04-01 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.