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General NPI Number Information
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NPI Number | 1174699797
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Entity Type | Organization
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Legal Business Name | GOOD DENTAL CARE
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | RR #1 BOX 99
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City | BIGGSVILLE
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State | IL
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Zip | 61418
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Country | US
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Telephone | 309-627-9200
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Fax | 309-627-9202
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Provider Business Mailing Address
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Address Line | RR #1 BOX 99
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City | BIGGSVILLE
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State | IL
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Zip | 61418
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Country | US
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Telephone | 309-627-9200
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Fax | 309-627-9202
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Authorized Official
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Title or Position | OWNER
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Name | MS. CATHERINE L GOOD
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Credential |
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Telephone | 309-627-2914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | IL
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