National Provider Identifier
Samuel Goodloe III, DDS, MD
Samuel Goodloe III, DDS, MD is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Williamsville, NY and a listed phone number of (716) 626-0001.
Profile Overview
- NPI
- 1144279191
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- May 08, 2006
- Last Updated
- November 17, 2010
Practice Location
- 1321 Millersport Hwy
- Suite #201
- Williamsville, NY 14221-2900
Phone: (716) 626-0001
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
- Surgery Physician (208600000X)
Full Record
- NPI
- 1144279191
- Entity Type
- Individual
- Last Name
- Goodloe
- First Name
- Samuel
- Name Prefix
- Dr.
- Name Suffix
- III
- Credential
- DDS, MD
- Mailing Street Address
- 1321 Millersport Hwy
- Mailing Address Line 2
- Suite #201
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2900
- Mailing Country
- US
- Mailing Phone
- (716) 626-0001
- Mailing Fax
- (716) 626-0031
- Practice Street Address
- 1321 Millersport Hwy
- Practice Address Line 2
- Suite #201
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2900
- Practice Country
- US
- Practice Phone
- (716) 626-0001
- Practice Fax
- (716) 626-0031
- Enumeration Date
- May 08, 2006
- Last Updated
- November 17, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X), Surgery Physician (208600000X)