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NPI Code Detail

MEDICARE: GOOD ANESTHESIA SERVICES, LLC

MEDICARE: GOOD ANESTHESIA SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry
21223D0004XDental Anesthesiology

General Provider Information

NPI Number : 1194552521
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD ANESTHESIA SERVICES, LLC
Provider Business Mailing Address
First Line : 5465 LEGACY DR STE 650
Second Line :
City : PLANO
State : TX
Zip : 75024-4171
Country : US
Telephone Number : 945-253-3168
Fax Number :
Provider Business Practice Location Address
First Line : 5465 LEGACY DR STE 650
Second Line :
City : PLANO
State : TX
Zip : 75024-4171
Country : US
Telephone Number : 945-253-3168
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. LEE GOODLOE
Credential : DDS
Telephone Number : 945-253-3168
Provider Enumeration Date : 09/18/2024
Last Update Date : 04/06/2026

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Directions to “GOOD ANESTHESIA SERVICES, LLC ” Practice Location

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