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Individual

JENNIFER N. GOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
22 VINE ST, HUNTINGTON, IN 46750-1409
(260) 356-9550
(260) 356-5181
Mailing address
22 VINE ST, HUNTINGTON, IN 46750-1409
(260) 356-9550
(260) 356-5181

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12010151
IN
1223G0001X
General Practice Dentistry
Primary
12010151
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164187
CHILDREN'S SPECIAL HEALTH
IN
05
200240730A
IN
Enumeration date
05/08/2006
Last updated
06/13/2025
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