Individual
DANE TROY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1690 N MAIN ST, HUNTINGBURG, IN 47542-8973
(812) 683-1112
Mailing address
1690 N MAIN ST, HUNTINGBURG, IN 47542-8973
(812) 683-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11311862
UT
1223G0001X
General Practice Dentistry
Primary
12013491A
IN
Other
Enumeration date
06/11/2019
Last updated
01/19/2021
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