Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
GOSHEN MEDICAL CENTER FAISON DENTAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1942
Entity
Organization
Contact information
Practice address
460 SW CENTER STREET, FAISON, NC 28341
(910) 267-0951
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-0421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908911
—
NC
Enumeration date
02/06/2008
Last updated
05/19/2026
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