Individual
DR. JERRY WAYNE GODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
17059 STUEBNER AIRLINE RD, SPRING, TX 77379-6210
(281) 444-3999
(281) 444-8079
Mailing address
17059 STUEBNER AIRLINE RD, SPRING, TX 77379-6210
(281) 444-3999
(281) 444-8079
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
TX8947
TX
Other
Enumeration date
04/13/2007
Last updated
10/05/2016
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