IndividualActive
Allyn Goodrich, D.D.S.
NPI 1174522080 · General Practice Dentistry · Las Vegas, NV
Provider details
- NPI number
- 1174522080
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 2376 (NV)
Specialties & taxonomies
Dental Providers
Practice location
4408 S Eastern Ave
Ste. 100
Las Vegas, NV 89119-7825
Phone: (702) 731-5700
Approximate (ZIP-level) locationGet directions
Mailing address
4808 S. Eastern Ave.
Las Vegas, NV 89119-7825
Registry dates
- Enumerated
- 2005-07-21
- Last updated
- 2011-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.