Provider Demographics
NPI:1508165887
Name:GOODWIN, WILLIAM THOMAS II (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:THOMAS
Last Name:GOODWIN
Suffix:II
Gender:M
Credentials:DDS
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Mailing Address - Street 1:3344 EMMAUS RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2685
Mailing Address - Country:US
Mailing Address - Phone:540-705-0195
Mailing Address - Fax:540-615-5704
Practice Address - Street 1:3344 EMMAUS RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-2685
Practice Address - Country:US
Practice Address - Phone:540-705-0195
Practice Address - Fax:540-615-5704
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2020-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA04014147001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery