Robert Alan Goodman, DDS is a 
Dentist - General Practice based in Balto., Maryland. Robert Alan Goodman is licensed to practice in Maryland (license number 6022) and his current practice location is 
6301 N. Charles St., Ste. 3, Balto., Maryland. He can be reached at his office (for appointments etc.) via phone at 
(410) 372-0766.
NPI number for Robert Alan Goodman is 1154417715 and his current mailing address is 6301 N. Charles St., Ste. 3, Balto., Maryland. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154417715.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Robert Alan Goodman | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 6301 N. Charles St., Balto., Maryland | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1154417715
 - Provider Enumeration Date: 10/04/2006
 - Last Update Date: 01/17/2023
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Robert Alan Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1154417715 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223G0001X | Dentist - General Practice  | 6022 (Maryland) | 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. Robert Alan 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 Address | Practice Location Address | 
		Robert Alan Goodman, DDS 6301 N. Charles St., Ste. 3, Balto., MD 21212 Ph: (410) 372-0766 | Robert Alan Goodman, DDS 6301 N. Charles St., Ste. 3, Balto., MD 21212 Ph: (410) 372-0766 | 
		
		 
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