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General NPI Number Information
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NPI Number | 1396079141
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Entity Type | Individual
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Provider Name | DAVID CHARLES GOERIG DDS
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Gender | Male
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 222 LILLY RD NE
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City | OLYMPIA
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State | WA
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Zip | 98506-5031
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Country | US
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Telephone | 360-459-3636
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Fax | 360-493-0343
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Provider Business Mailing Address
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Address Line | 222 LILLY RD NE
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City | OLYMPIA
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State | WA
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Zip | 98506-5031
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Country | US
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Telephone | 360-459-3636
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Fax | 360-493-0343
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DE60102361
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License Number State | WA
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