MARK SPENCER GOODMAN
NPI 1639924327
Dentist in Cleveland, OH

Active since April 17, 2024
3701 LORAIN AVE, CLEVELAND, OH 44113(765) 251-3466 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 18, 2025, Apr 17, 2024 (2 updates tracked since 2024).

About Mark Spencer Goodman NPPES

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

MARK SPENCER GOODMAN (NPI 1639924327) is an individual dentist in Cleveland, Ohio, licensed in Ohio (30.027571) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1639924327
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK SPENCER GOODMAN
Location Address3701 LORAIN AVECleveland, OH 44113-3707
Mailing Address13093 Cedar RdCleveland, OH 44118-2709 · (765) 251-3466
Sole ProprietorYes
Enumeration DateApril 17, 2024
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1639924327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30.027571
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.

3701 LORAIN AVE, Cleveland, OH 44113

Accepted Insurance

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.

Dentist
3701 LORAIN AVE
CLEVELAND, OH 44113
Dentist (General Practice)
3701 LORAIN AVE
CLEVELAND, OH 44113
Dentist (General Practice)
3701 LORAIN AVE
CLEVELAND, OH 44113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639924327, enumerated as an "individual" on April 17, 2024.

The provider is located at 3701 LORAIN AVE CLEVELAND, OH 44113 and the phone number is (765) 251-3466.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.