# KERRY S. GOODIN, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760564140
- **Authorized official:** DR. KERRY S GOODIN D.D.S. (CEO)
- **Authorized official phone:** (812) 794-2255

## Contact information

- **Practice address:** 60 W MAIN ST, PO BXO 70, AUSTIN, IN 47102-0070
- **Practice address phone:** (812) 794-2255
- **Mailing address:** PO BOX 70, 60 W MAIN ST, AUSTIN, IN 47102-0070
- **Mailing address phone:** (812) 794-2255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008972A | IN | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020