Provider Demographics
NPI:1922236439
Name:GOODALL, CHRISTINA RHEA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:RHEA
Last Name:GOODALL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3100 NC HIGHWAY 55
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519
Mailing Address - Country:US
Mailing Address - Phone:919-363-3133
Mailing Address - Fax:919-363-3134
Practice Address - Street 1:3100 NC HIGHWAY 55
Practice Address - Street 2:SUITE 201
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519
Practice Address - Country:US
Practice Address - Phone:919-363-3133
Practice Address - Fax:919-363-3134
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC88231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice