Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel T. Goodman DDS LLC

Organization General Practice Dentistry · NPI 1124284658

Daniel T. Goodman DDS LLC is a General Practice Dentistry in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 E Broadway St
Bolivar, MO 65613-1625
Phone: (417) 326-4113
Fax: (417) 326-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2005015020 (MO)

Record details

NPI number1124284658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Goodman — Owner/Dentist · (417) 326-4113
NPI enumeratedAugust 4, 2008
Last updated in NPPESAugust 4, 2008
Mailing address305 E Broadway St, Bolivar, MO 65613-1625

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