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Jack E. Goris D.d.s.,pc
General Practice Dentistry in Logansport, Indiana
NPI 1588708937

Jack E. Goris D.d.s.,pc is a General Practice Dentistry based in Logansport, IN and is specialized in General Practice. Jack E. Goris D.d.s.,pc practices in Logansport, IN. The NPI Number for Jack E. Goris D.d.s.,pc is 1588708937 and holds a License No. 12008389 (Indiana).

The current practice location address for Jack E. Goris D.d.s.,pc is 1821 Chase Rd, Logansport, IN and can be reached out via phone at 574-753-4542 and via fax at 574-722-5059.

Location: 1821 Chase Rd, Logansport, IN, 46947-1200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588708937
Provider Name
Jack E. Goris D.d.s.,pc
Credential
Provider Entity Type
Organization
Address
1821 Chase Rd, Logansport, IN, 46947-1200
Phone Number
574-753-4542
Fax Number
574-722-5059
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1821 Chase Rd
City
Logansport
State
Indiana
Zip
46947-1200
Phone Number
574-753-4542
Fax Number
574-722-5059
person
Provider Business Mailing Address Details
Address
1821 Chase Rd
City
Logansport
State
Indiana
Zip
46947-1200
Phone Number
574-753-4542
Fax Number
574-722-5059
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12008389 (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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