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Deactivated NPI 1346212917 Deactivated / Inactive NPI Male Practitioner

Dr. Edmund F Goolsby , DDS

Dentist - General Practice • Ipswich, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edmund Goolsby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2006
NPI Deactivation Date February 03, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Edmund Goolsby, DDS was a registered Dentist - General Practice practicing in Ipswich, MA. Throughout an active medical career spanning 16 years, Dr. Goolsby provided care at the practice location at 19 HAMMATT ST until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

19 Hammatt St

Ipswich, MA 019381930

Telephone 9783563922
Fax 9783566230
Associated Practice Facility / Clinic
🏢 Robillard Dental, Llc Facility NPI 1083169429

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ipswich, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Ipswich, MA (3722 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 15654

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Matthew Knight , DDS

Dentist - General Practice

NPI 1013986272

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 19 HAMMATT ST, IPSWICH, MA 019381930 (Tel: 9783563922)

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Updated Business Mailing Address July 08, 2007

Registered at 19 HAMMATT ST, IPSWICH, MA 019381930 (Tel: 9783563922)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDMUND GOOLSBY, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #15654 in MA)

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Initial NPI Registration & Enumeration February 07, 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: 1346212917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2006
Last Update: July 08, 2007
Deactivation Date: February 03, 2022

Mailing Address

19 Hammatt St

Ipswich, MA 019381930

Phone: 9783563922

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.