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

Dr. Charles Harrell Goodman, DDSMS

Individual provider Periodontics · NPI 1164547105

Dr. Charles Harrell Goodman, DDSMS is a Periodontics in Chicago, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2007.

Licensed in
IL, IN
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2835 N Sheffield Ave Ste 408
Chicago, IL 60657
Phone: (773) 327-1613
Fax: (773) 327-3642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (IL)
Periodontics Taxonomy 1223P0300X · Licence 12009427 (IN)

Record details

NPI number1164547105
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2835 N Sheffield Ave, Suite 408, Chicago, IL 60657

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