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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JACOB FORREST GOODMAN
NPI 1376474098
Dentist in Bolivar, MO

Active since May 29, 2026
305 E BROADWAY ST, BOLIVAR, MO 65613(417) 203-4121 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Jul 17, 2026, Jul 10, 2026 and 1 more (4 updates tracked since 2026).

About Dr. Jacob Forrest Goodman NPPES

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

DR. JACOB FORREST GOODMAN (NPI 1376474098) is an individual dentist in Bolivar, Missouri, licensed in Missouri (2026022880) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1376474098
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACOB FORREST GOODMAN
Location Address305 E BROADWAY STBolivar, MO 65613-1625
Mailing Address315 E Broadway StBolivar, MO 65613-1625 · (417) 203-4121
Phone(417) 203-4121
Sole ProprietorNo
Enumeration DateMay 29, 2026
Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1376474098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2026022880
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
305 E BROADWAY ST, Bolivar, MO 65613
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL T. GOODMAN DDS LLC
Dentist (General Practice)
305 E BROADWAY ST
BOLIVAR, MO 65613
Polk County (417) 326-4113
DR. DANIEL TIM GOODMAN JR. D.D.S
Dentist (General Practice)
305 E BROADWAY ST
BOLIVAR, MO 65613
Polk County (417) 326-4113
DR. THOMAS EUGENE HEINRICHS D.D.S.
Dentist
305 E BROADWAY ST
BOLIVAR, MO 65613
Polk County (417) 326-4113

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 Jacob Goodman's NPI number?

The NPI number for Jacob Goodman is 1376474098. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Where is Jacob Goodman located?

Jacob Goodman practices at 305 E Broadway St, Bolivar, MO 65613. The listed phone number is (417) 203-4121.

What is Jacob Goodman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jacob Goodman was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.