Individual
DR. BENNIE JOE GOGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1712 HACKBERRY LANE, TUSCALOOSA, AL 35401
(205) 758-2731
(205) 758-2781
Mailing address
1712 HACKBERRY LANE, TUSCALOOSA, AL 35401
(205) 758-2731
(205) 758-2781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3848
AL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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