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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL T GOODMAN DDS LLC
NPI 1124284658
Dentist - General Practice in Bolivar, MO

Active since August 04, 2008
315 E BROADWAY ST, BOLIVAR, MO 65613(417) 326-4113(417) 326-4115 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Daniel T Goodman Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL T GOODMAN DDS LLC (NPI 1124284658) is a healthcare organization registered as a general practice in Bolivar, Missouri and active in the NPI registry since August 2008. The organization lists Daniel T Goodman, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1124284658
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDANIEL T GOODMAN DDS LLC
Location Address315 E BROADWAY STBolivar, MO 65613
Mailing Address315 E Broadway StBolivar, MO 65613 · (417) 326-4113 · Fax (417) 326-4115
Phone(417) 326-4113
Fax(417) 326-4115
Organization SubpartNo
Authorized OfficialDaniel T GoodmanDoctor Owner · (417) 326-4113
Enumeration DateAugust 4, 2008
Last NPPES UpdateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1124284658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2005015020
Definition
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.
315 E BROADWAY ST, Bolivar, MO 65613
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel T Goodman Dds LLC's NPI number?

The NPI number for Daniel T Goodman Dds LLC is 1124284658. It was assigned to this organization in the NPPES registry on August 4, 2008.

Where is Daniel T Goodman Dds LLC located?

Daniel T Goodman Dds LLC is located at 315 E Broadway St, Bolivar, MO 65613. The listed phone number is (417) 326-4113.

What is Daniel T Goodman Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Daniel T Goodman Dds LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.