| Jamie D Goad, DDS | |
|
710 Avenue E, Carrizozo, NM 88301 | |
| (505) 648-2839 | |
| (505) 648-4113 |
| Full Name | Jamie D Goad |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 710 Avenue E, Carrizozo, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972526556 | NPI | - | NPPES |
| 84285 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD1324 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie D Goad, DDS 5901 Harper Dr Ne, Provider Enrollment, Albuquerque, NM 87109-3587 Ph: (505) 823-8528 | Jamie D Goad, DDS 710 Avenue E, Carrizozo, NM 88301 Ph: (505) 648-2839 |
Meoshi Hicks, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 710 E Ave, Carrizozo, NM 88301 Phone: 575-648-2839 | |
Melinda Hall Hacker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 710 Ave E, Carrizozo, NM 88301 Phone: 575-648-2839 Fax: 505-648-4113 |