Provider Demographics
NPI:1770641292
Name:GOODHAND, OSCAR GLENN III (DDS, MAGD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:GLENN
Last Name:GOODHAND
Suffix:III
Gender:M
Credentials:DDS, MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10851 DEBORAH DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2716
Mailing Address - Country:US
Mailing Address - Phone:301-520-7002
Mailing Address - Fax:
Practice Address - Street 1:6870 ELM ST
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3893
Practice Address - Country:US
Practice Address - Phone:703-748-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA56641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice