DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEN GOODWIN, DMD, PA

Active Organization

KEN GOODWIN, DMD, PA is a General Dentistry organization located in BOONEVILLE, Mississippi. NPI 1548673320 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BOONEVILLE, MS

Registration Details

NPI Number
1548673320
Provider Type
Organization
NPI Issued
Jun 9, 2014 (12.194075411384 yrs)
Last Updated
Jun 9, 2014
License
1971-82 (MS)

Practice Information

Address
403 N THIRD ST
BOONEVILLE, MS, 388291609
Browse MS providers · Browse ZIP 38829
Phone
6627288171
Fax
6627281093
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in BOONEVILLE, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.