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Deactivated NPI 1811083801 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen George Goodell , DDS

Dentist - General Practice • Saint Louis, MI

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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. Stephen Goodell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2006
NPI Deactivation Date June 21, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Goodell, DDS was a registered Dentist - General Practice practicing in Saint Louis, MI. Throughout an active medical career spanning 16 years, Dr. Goodell provided care at the practice location at 405 E WASHINGTON ST until profile deactivation on 2022-06-21.

Practice Location & Contact Primary Location

Practice Address

405 E Washington St

Saint Louis, MI 488801980

Telephone 9896812002
Fax 9896816157

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Louis, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Saint Louis, MI (4360 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 MI 11561

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.

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 June 21, 2022

Record deactivated on June 21, 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 405 E WASHINGTON ST, SAINT LOUIS, MI 488801980 (Tel: 9896812002)

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Updated Business Mailing Address July 08, 2007

Registered at 405 E WASHINGTON ST, SAINT LOUIS, MI 488801980 (Tel: 9896812002)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN GOODELL, D.D.S.

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

Dentist (License #11561 in MI)

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Initial NPI Registration & Enumeration October 05, 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: 1811083801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 08, 2007
Deactivation Date: June 21, 2022

Mailing Address

405 E Washington St

Saint Louis, MI 488801980

Phone: 9896812002

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.