Organization
GREGORY GOGGANS, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GOGGANS DMD (OWNER)
(800) 864-1582
Entity
Organization
Contact information
Practice address
6420 HIGHWAY 11 N STE C, CARRIERE, MS 39426-7146
(601) 799-3120
Mailing address
PO BOX 674474, DALLAS, TX 75267-4474
(800) 864-1582
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3983-18
MS
Other
Enumeration date
05/07/2018
Last updated
05/04/2022
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