Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEN G GOODWIN, DMD, PA
Active Sole ProprietorDR. KEN G GOODWIN, DMD, PA is a General Dentistry healthcare provider located in BOONEVILLE, Mississippi. NPI 1902992043 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BOONEVILLE, MS
Registration Details
- NPI Number
- 1902992043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2006 (19.871106930276 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1971-82 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 NORTH THIRD STREETBOONEVILLE, MS, 38829Browse MS providers · Browse ZIP 38829
- Phone
- 6627288171
- Fax
- 6627281093
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BOONEVILLE, MS
| Name | Credential | NPI |
|---|---|---|
| DR. LARRY CARLTON DOWNS | DDS | 1740388446 |
| DR. JEFF JOHNSON | D.M.D. | 1174622807 |
| DR. CATHERINE JOHNSON MINCY | DDS | 1679627335 |
| DR. ALEX CARLTON DOWNS | DMD | 1871086116 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.