Provider Demographics
NPI:1992232904
Name:GOODLAND DENTAL ARTS, P.A.
Entity type:Organization
Organization Name:GOODLAND DENTAL ARTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-376-8730
Mailing Address - Street 1:504 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:GOODLAND
Mailing Address - State:KS
Mailing Address - Zip Code:67735-1842
Mailing Address - Country:US
Mailing Address - Phone:785-899-6222
Mailing Address - Fax:785-890-3650
Practice Address - Street 1:504 MAIN AVE
Practice Address - Street 2:
Practice Address - City:GOODLAND
Practice Address - State:KS
Practice Address - Zip Code:67735-1842
Practice Address - Country:US
Practice Address - Phone:785-899-6222
Practice Address - Fax:785-890-3650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60981261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental