Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043275548 Individual Practitioner Male Practitioner

Dr. Michael S. Goodman , DDS

Dentist - Pediatric Dentistry • Willimantic, CT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Goodman, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Willimantic, CT. Practice services are available at 1315 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1315 Main St

Willimantic, CT 062261948

Telephone 8604507471
Fax 8604234629
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Willimantic, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Willimantic, CT (201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License CT 003955

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Dental Public Health

NUCC Taxonomy Code: 1223D0001X

State License CT 003955

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kathy Montague , DMD

Dentist - General Practice

NPI 1003895327

Doctor of Dental Medicine

Dr. Kipp Spencer , MD

Internal Medicine

NPI 1013390517

Doctor of Medicine (M.D.)

Fabienne Laguerre , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1013891365

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1053390500

Doctor of Medicine (M.D.)

Sheryl Ficorilli , RDH

Dental Hygienist

NPI 1063794808

Registered Dental Hygienist

Crystal Hayes , LPC

Counselor - Professional

NPI 1063912780

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 11, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2007

Registered at 1315 MAIN ST, WILLIMANTIC, CT 062261948 (Tel: 8604507471)

📍
Updated Business Mailing Address July 11, 2007

Registered at 131 W GRAYLING LN, SUFFIELD, CT 060781960 (Tel: 8606686622)

👤
Provider Name / Credentials Updated July 11, 2007

Recorded as MICHAEL GOODMAN, D. D. S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2007

Dentist (License #003955 in CT)

🟢
Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043275548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2006
Last Update: July 11, 2007
Sole Proprietor: No

Mailing Address

131 W Grayling Ln

Suffield, CT 060781960

Phone: 8606686622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.