DR. SAMUEL GOODLOE DDS MD NPI 1144279191

NPI Information

  • NPI: 1144279191
  • Provider Name: DR. SAMUEL GOODLOE, DDS, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 1321 MILLERSPORT HWY
    SUITE #201
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 626-0001

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NPI Details

DR. Samuel Goodloe, DDS, MD is an oral and maxillofacial surgery dentist in Williamsville, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Samuel Goodloe, DDS, MD NPI is 1144279191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1321 MILLERSPORT HWY
SUITE #201
WILLIAMSVILLE, NY
ZIP 14221-900
Phone: (716) 626-0001
Fax: (716) 626-0031

The enumeration date for this NPI number is 5/8/2006 and was last updated on 11/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery208101NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery044038NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H58214MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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