Organization
ALLAN L. GOINS JR. DDS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN L GOINS JR. DDS (OWNER/DENTIST)
(812) 346-5451
Entity
Organization
Contact information
Practice address
67 LONG ST, NORTH VERNON, IN 47265-2313
(812) 346-5451
(812) 346-8456
Mailing address
67 LONG ST, NORTH VERNON, IN 47265-2313
(812) 346-5451
(812) 346-8456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007859A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194930A
—
IN
Enumeration date
06/05/2015
Last updated
06/05/2015
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