2689 E Gulf To Lake HwyInverness, FL 34453-3216
- Phone
- (352) 637-1114
- Source checked
- May 26, 2026
CMS NPPES Data Dissemination May 2026 V2
Back to Leesberg dentists
Provider record
Wendy Goodman DDS
Wendy Goodman DDS is a CMS NPPES public record in Leesberg, FL with a Periodontics taxonomy. The listing includes the reported practice address and reported phone. Confirm details with the provider.
NPI1053574087
Entity typeIndividual
Reported phone(352) 460-0164
SourceCMS NPPES
National Plan and Provider Enumeration System
Source checkedJune 3, 2026
Data pulled and checked
NPPES statusActive
Reported to NPPES
Directory statusIndependent
No affiliation or endorsement implied
We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1053574087
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 949 N 14th St
Leesberg, FL 34748 - Phone
- (352) 460-0164
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Directions
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Additional practice locations
NPPES reports 2 additional Florida practice locations for this NPI. This page shows up to five source-reported rows and does not map or verify these locations.
870 N Us Highway 27Lady Lake, FL 32159
- Phone
- (352) 282-4785
- Source checked
- May 26, 2026
CMS NPPES Data Dissemination May 2026 V2
How to verify this record
Use this page as a starting point, then confirm details from primary or direct sources.
- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223P0300X
- Specialty
- Periodontics
- Source
- CMS NPPES
- Last updated
- May 26, 2026
Additional NPPES taxonomy rows
Other dental taxonomy entries reported to NPPES for this NPI.
- 122300000X
- Dentist