Provider Demographics
NPI:1811084874
Name:GOODSPEED, BARRY E (DDS)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
Last Name:GOODSPEED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2505
Mailing Address - Country:US
Mailing Address - Phone:205-870-1363
Mailing Address - Fax:205-870-4366
Practice Address - Street 1:2901 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-2505
Practice Address - Country:US
Practice Address - Phone:205-870-1363
Practice Address - Fax:205-870-4366
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL49841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice