DR. LARRY EDWARD GOEDECK DMD LLC
NPI 1730259490
Dentist - General Practice in Prineville, OR

Active since November 09, 2006
257 NE 2ND ST, PRINEVILLE, OR 97754(541) 447-5838(541) 447-5883 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry Edward Goedeck Dmd Llc NPPES

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

DR. LARRY EDWARD GOEDECK DMD LLC (NPI 1730259490) is an individual general practice provider in Prineville, Oregon, licensed in Oregon (4325) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1730259490
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARRY EDWARD GOEDECKCredential: DMD LLC
Location Address257 NE 2ND STPrineville, OR 97754
Mailing Address257 Ne 2nd StPrineville, OR 97754 · (541) 447-5838 · Fax (541) 447-5883
Fax(541) 447-5883
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730259490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 4325
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.
257 NE 2ND ST, Prineville, OR 97754

Other Identifiers 1

Other069781OR · Omap

Other Providers at the Same Location NPPES 7

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

Dentist
257 NE 2ND ST
PRINEVILLE, OR 97754
Dental Hygienist
257 NE 2ND ST
PRINEVILLE, OR 97754
Dentist
257 NE 2ND ST
PRINEVILLE, OR 97754
Dental Hygienist
257 NE 2ND ST
PRINEVILLE, OR 97754
Dentist
257 NE 2ND ST
PRINEVILLE, OR 97754
Dentist (General Practice)
257 NE 2ND ST
PRINEVILLE, OR 97754
Dentist (General Practice)
257 NE 2ND ST
PRINEVILLE, OR 97754

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 Larry Goedeck's NPI number?

The NPI number for Larry Goedeck is 1730259490. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Larry Goedeck located?

Larry Goedeck practices at 257 NE 2nd St, Prineville, OR 97754. The listed phone number is (541) 447-5838.

What is Larry Goedeck'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 Larry Goedeck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.