Dr. Mark Goodenough, DDS, MD
Dr. Mark Goodenough, DDS, MD is an Oral Surgery in Staten Island, New York. Graduated from Columbia University College of Dental Medicine in 2017, 9 years ago. Practices with Staten Island Oral and Maxillofacial Surgery, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 9
- Trained at
- Columbia University College of Dental Medicine
- Licensed in
- NY
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
256C Mason AveStaten Island, NY 10305-3408
Phone: (718) 226-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1441 South Ave Ste 707, Staten Island, NY 10314-3784 — (718) 226-1251
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 063143 (NY) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 311698 (NY) |
Record details
| NPI number | 1154858033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MD |
| Sole proprietor | No |
| NPI enumerated | May 22, 2017 |
| Last updated in NPPES | June 26, 2024 |
| Certification date | June 26, 2024 |
Medicare enrollment
| Medicare specialty | ORAL SURGERY |
|---|---|
| Medical school | COLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE |
| Graduated | 2017 (9 years in practice) |
| Group practice | Staten Island Oral And Maxillofacial Surgery — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |