OrganizationActive
Daniel T. Goodman DDS LLC
NPI 1124284658 · General Practice Dentistry · Bolivar, MO
Daniel T. Goodman DDS LLC is a General Practice Dentistry organization in Bolivar, MO (NPI 1124284658).
Provider details
- NPI number
- 1124284658
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Daniel Goodman, Owner/Dentist(417) 326-4113
- License
- 2005015020 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 E Broadway St
Bolivar, MO 65613-1625
Phone: (417) 326-4113
Fax: (417) 326-4115
Street-level locationGet directions
Mailing address
305 E Broadway St
Bolivar, MO 65613-1625
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2008-08-04
Frequently asked questions
- What is Daniel T. Goodman DDS LLC's NPI number?
- Daniel T. Goodman DDS LLC's National Provider Identifier (NPI) is 1124284658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Daniel T. Goodman DDS LLC?
- Daniel T. Goodman DDS LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Daniel T. Goodman DDS LLC located?
- Daniel T. Goodman DDS LLC's practice location on file with NPPES is 305 E Broadway St, Bolivar, MO 65613-1625.
- What is Daniel T. Goodman DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Daniel T. Goodman DDS LLC is (417) 326-4113.
- Who is the authorized official for Daniel T. Goodman DDS LLC?
- The authorized official listed on Daniel T. Goodman DDS LLC's NPPES record is Daniel Goodman, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Daniel T. Goodman DDS LLC's NPI active?
- Yes — Daniel T. Goodman DDS LLC's NPI (1124284658) is active in the NPPES registry as of the last update on 2008-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.