DR. PHILLIP M GOODMAN DDS
NPI 1619350790
Dentist - Orthodontics and Dentofacial Orthopedics in Greenville, SC

Active since July 07, 2015
105 STATE PARK RD, GREENVILLE, SC 29609(864) 271-1156 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phillip M Goodman Dds NPPES

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

DR. PHILLIP M GOODMAN DDS (NPI 1619350790) is an individual orthodontics and dentofacial orthopedics provider in Greenville, South Carolina, licensed in South Carolina (7132) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1619350790
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. PHILLIP M GOODMANCredential: DDS
Location Address105 STATE PARK RDGreenville, SC 29609-2914
Mailing Address540 Old Harbor CtDayton, OH 45458-2878 · (937) 823-3441
Sole ProprietorYes
Enumeration DateJuly 7, 2015
NPI 1619350790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in SC · 7132
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
105 STATE PARK RD, Greenville, SC 29609

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist (Orthodontics and Dentofacial Orthopedics)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (Orthodontics and Dentofacial Orthopedics)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (General Practice)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (General Practice)
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist
105 STATE PARK RD
GREENVILLE, SC 29609
Dentist (General Practice)
105 STATE PARK RD
GREENVILLE, SC 29609

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 Phillip Goodman's NPI number?

The NPI number for Phillip Goodman is 1619350790. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Phillip Goodman located?

Phillip Goodman practices at 105 State Park Rd, Greenville, SC 29609. The listed phone number is (864) 271-1156.

What is Phillip Goodman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Phillip Goodman accept?

Health plans from Humana list Phillip Goodman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Goodman was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.