MARK GOODENOUGH DDS, MD – NPI #1154858033
Oral & Maxillofacial Surgery
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
MARK GOODENOUGH is an oral & maxillofacial surgeon located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1154858033 to MARK GOODENOUGH on May 22, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.
The NPI profile was last updated on Jun 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK GOODENOUGH below.
NPI Profile for
MARK GOODENOUGH
(more than 9 years ago)
STATEN ISLAND, NY 10305-3408 Phone: (718) 226-1251 Fax:
1 Other location(s):
Staten Island, NY 10314-3784
Phone: (718) 226-1251
STATEN ISLAND, NY 10305-3408 Phone: (718) 226-1251 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 204E00000X - Oral & Maxillofacial Surgery (Primary) |
NY | 063143 |
| 208D00000X - General Practice |
NY | 311698 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
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