Individual
DR. JEFFREY PAUL GOEDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8190 WINDFALL LN STE B, CAMBY, IN 46113-7907
(317) 821-0600
(317) 821-0606
Mailing address
7622 SERGI CANYON DR, INDIANAPOLIS, IN 46217-7174
(317) 859-3580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010781A
IN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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