Organization
KERRY S. GOODIN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY S GOODIN D.D.S. (CEO)
(812) 794-2255
Entity
Organization
Contact information
Practice address
60 W MAIN ST, PO BXO 70, AUSTIN, IN 47102-0070
(812) 794-2255
Mailing address
PO BOX 70, 60 W MAIN ST, AUSTIN, IN 47102-0070
(812) 794-2255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008972A
IN
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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