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Individual

JENNIFER N. GOFF

Active
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Individual

JENNIFER N. GOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12010151
IN
1223G0001X
General Practice Dentistry
Primary
12010151
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164187
CHILDREN'S SPECIAL HEALTH
IN
05
—
200240730A
—
IN
Enumeration date
05/08/2006
Last updated
06/13/2025
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