# LOGAN GOAD DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goad Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821974114
- **Authorized official:** MICHAEL LOGAN GOAD DDS (DENTIST)
- **Authorized official phone:** (931) 510-2414

## Contact information

- **Practice address:** 6904 S EAST ST STE F, INDIANAPOLIS, IN 46227-2694
- **Practice address phone:** (317) 788-4239
- **Mailing address:** 6904 S EAST ST STE F, INDIANAPOLIS, IN 46227-2694
- **Mailing address phone:** (317) 788-4239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 08/13/2025