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

Dr. Jacob Forrest Goodman

Individual provider Dentist · NPI 1376474098

Dr. Jacob Forrest Goodman is a Dentist in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2026.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

305 E Broadway St
Bolivar, MO 65613-1625
Phone: (417) 203-4121
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2026022880 (MO)

Record details

NPI number1376474098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address315 E Broadway St, Bolivar, MO 65613-1625

Other providers in Bolivar