WANDA FRANCES GOODREAU (NPI# 1831333228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831333228 |
| Entity Type | Individual |
| Full Name | WANDA FRANCES GOODREAU |
| Credential | DMD |
| Practice Address |
1415 Governors Square Blvd Tallahassee FL 32301-3049 |
| Mailing Address |
613 Shady Oaks Ln Lynn Haven FL 32444-3098 |
| Practice Telephone | 8505835748 |
| Mailing Telephone | (850) 819-3636 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN13875 | FL | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DN0013875 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 Southwood Dr, Panama City, FL 324054905 | 8507692424 | 9507699199 |
| Street Address |
1415 GOVERNORS SQUARE BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230896 | Johana Kutrolli | Dentist | 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 | 2019-08-14 |
| 1447753090 | Bwm Dentistry Pa | Dentist | 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 | 2018-03-09 |
| 1427464478 | Mini Majumdar | Dentist | 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932367729 | Benjamin Fragale | Dentist | 2408 West Plaza Dr Ste A, Tallahassee, FL 32308 | 2008-05-28 |
| 1891966123 | Eduardo E Hubard | Dentist | 1404 M D Lane, Tallahassee, FL 32308-5349 | 2008-03-14 |
| 1164645867 | James D. Sykes | Dentist | 3101 Capital Medical Blvd, Tallahassee, FL 32308-4411 | 2007-04-11 |
| 1265590129 | Phillip Alexander Simon | Dentist | 1348 Timberlane Rd, Tallahassee, FL 32312-1766 | 2006-12-04 |
| 1326148842 | Edward A Kotz Jr. | Dentist | 1913 Capital Cir Ne, Tallahassee, FL 32308-4421 | 2006-09-24 |
| 1851938153 | Tallahassee Endodontics | Dentist | 1348 Timberlane Rd, Tallahassee, FL 32312-1766 | 2019-12-05 |
| 1689986804 | Briano Allen | Dentist | 3101 Capital Medical Blvd, Tallahassee, FL 32308-4411 | 2010-07-02 |
| 1023118544 | Edward A. Kotz, Jr., D.d.s., P.a. | Dentist | 1913 Capital Cir Ne, Tallahassee, FL 32308-4421 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1417587130 | Advanced Endodontics of Winter Park, Pa | Dentist | 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 | 2020-01-22 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
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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.