Provider Demographics
NPI:1528039112
Name:GODBEE, NORMA ELAINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:ELAINE
Last Name:GODBEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:N. ELAINE
Other - Middle Name:
Other - Last Name:GODBEE LETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:610 EMERALD XING
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-5144
Mailing Address - Country:US
Mailing Address - Phone:706-855-9595
Mailing Address - Fax:
Practice Address - Street 1:118 PLEASANT HOME RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-3518
Practice Address - Country:US
Practice Address - Phone:706-869-9966
Practice Address - Fax:706-863-4500
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0114101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00676497AMedicaid