Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Daniel T. Goodman DDS LLC

Organization General Practice Dentistry · NPI 1124284658

Daniel T. Goodman DDS LLC provides 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 Not confirmed with CMS for 18 years — call before visiting
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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