P Praxis·MD
● Active Type 1 · Individual

Kurt Goodell, DDS

Dentist·Fort Gordon, GA· NPI 1578811758 · Enumerated 2012 · 13 years on NPI
Goodell is 1 of 3 dentist providers in Fort Gordon and 1 of 200 in Georgia.
NPI age
13 years
Enumerated 2012-08-21
Primary specialty
Dentist
Plus 3 subspecialties
Licensed in
GA, KS, TX
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 200 active dentist providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
3 states
Top 84% — 16% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-08Enumerated in NPPES
2012 2026

Where they practice

Practice location
228 E Hospital Rd
Fort Gordon, GA 309056011
📞 7067875531
Mailing address
228 E Hospital Rd
Fort Gordon, GA 309056011
📞 7067875531

Specialties

  • Dentist Primary
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    GA license #DN122928KS license #61690TX license #28236 taxonomy 1223E0200X
  • Dentist
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    TX license #28236 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (GA) DN122928 DENTAL LICENSE
01 (KY) 10383 DENTAL LICENSE
01 (KS) 61690 DENTAL LICENSE
01 (TX) 28236 DENTAL LISCENSE
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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