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Dr. Clifford Kirby Goodwine, DMD
Pediatric Dentist in Winchester, Kentucky
NPI 1679130983

Clifford Kirby Goodwine is a Pediatric Dentist based in Winchester, KY and is specialized in Pediatric Dentistry. Clifford Kirby Goodwine practices in Winchester, KY and has the professional credentials of DMD. The NPI Number for Clifford Kirby Goodwine is 1679130983 and holds a License No. 019.033025 (Kentucky).

The current practice location address for Clifford Kirby Goodwine is 11 Canary Ln, Winchester, KY and can be reached out via phone at 270-304-6547.

Location: 11 Canary Ln, Winchester, KY, 40391-1645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679130983
Provider Name
Clifford Kirby Goodwine
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
11 Canary Ln, Winchester, KY, 40391-1645
Phone Number
270-304-6547
Fax Number
Provider Enumeration Date
05/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Canary Ln
City
Winchester
State
Kentucky
Zip
40391-1645
Phone Number
270-304-6547
Fax Number
person
Provider Business Mailing Address Details
Address
11 Canary Ln
City
Winchester
State
Kentucky
Zip
40391-1645
Phone Number
270-304-6547
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Kentucky)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
019.033025 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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