Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023096047 Individual Practitioner Male Practitioner

Dr. Ronald Scott Goodman , DDS

Dentist - General Practice • Warren, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Goodman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Warren, MI. Practice services are available at 28282 DEQUINDRE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

28282 Dequindre Rd

Warren, MI 480925604

Telephone 5865742620
Fax 5865744560
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Warren, MI

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

Practicing in Warren, 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

CMS Verified: 2025-12-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 15034

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2613950 (MI)
Commercial Insurance / Payer ID Blue Cross Id
J800813 (MI)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1063347771
NPI 1194569574

Doctor of Dental Surgery

Maria Kana

Dentist

NPI 1538778519
NPI 1720346984

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location December 11, 2025

Registered at 28282 DEQUINDRE RD, WARREN, MI 480925604 (Tel: 5865742620)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 28478 DEQUINDRE RD, WARREN, MI 480925605 (Tel: 5865742620)

📍
Updated Business Mailing Address July 09, 2007

Registered at 28478 DEQUINDRE RD, WARREN, MI 480925605 (Tel: 5865742620)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RONALD GOODMAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #15034 in MI)

🟢
Initial NPI Registration & Enumeration January 09, 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: 1023096047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

28478 Dequindre Rd

Warren, MI 480925605

Phone: 5865742620

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.