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

Mark Spencer Goodman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639924327

Mark Spencer Goodman is a Student in an Organized Health Care Education/Training Program in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Cleveland, OH

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.027571 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639924327
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2024
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

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