Dr Goode Shockley Wier Iii, DDS is a
Dentist based in St Paris, Ohio. Dr Goode Shockley Wier Iii is licensed to practice in Ohio (license number 30019489) and his current practice location is
114 S Springfield St, St Paris, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 663-9801.
NPI number for Dr Goode Shockley Wier Iii is 1518924703 and his current mailing address is 114 S Springfield St, Po Box 622, St Paris, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518924703.
Healthcare Provider's Profile
| Full Name | Dr Goode Shockley Wier Iii |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 114 S Springfield St, St Paris, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518924703
- Provider Enumeration Date: 04/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Goode Shockley Wier Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518924703 | NPI | - | NPPES |
| 0931979 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 30019489 (Ohio) | 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 Goode Shockley Wier Iii 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 Address | Practice Location Address |
|---|
Dr Goode Shockley Wier Iii, DDS
114 S Springfield St, Po Box 622,
St Paris, OH 43072-9522
Ph: (937) 663-9801 | Dr Goode Shockley Wier Iii, DDS
114 S Springfield St,
St Paris, OH 43072-9522
Ph: (937) 663-9801 |
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