Dr Brock Aaron Goodman, DDS - Dentist in San Diego, CA

Dr Brock Aaron Goodman, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in San Diego, California. Dr Brock Aaron Goodman is licensed to practice in Nevada (license number 6023) and his current practice location is 702 C St, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (408) 621-5779.

NPI number for Dr Brock Aaron Goodman is 1821303538 and his current mailing address is 3722 Las Vegas Blvd S, 2104e, Las Vegas, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821303538.

Contact Information

Dr Brock Aaron Goodman, DDS
702 C St,
San Diego, CA 92101-5308
(408) 621-5779
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Brock Aaron Goodman
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location702 C St, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821303538
  • Provider Enumeration Date: 08/18/2010
  • Last Update Date: 09/26/2013

Medical Identifiers

Medical identifiers for Dr Brock Aaron Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821303538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 59901 (California)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 6023 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brock Aaron Goodman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Brock Aaron Goodman, DDS
3722 Las Vegas Blvd S, 2104e,
Las Vegas, NV 89158-4301

Ph: (408) 621-5779
Dr Brock Aaron Goodman, DDS
702 C St,
San Diego, CA 92101-5308

Ph: (408) 621-5779

Reviews and Comments


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