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Jack Everett Goris, DDS
General Practice Dentistry in Logansport, Indiana
NPI 1710037791

Jack Everett Goris is a General Practice Dentistry based in Logansport, IN and is specialized in General Practice. Jack Everett Goris practices in Logansport, IN and has the professional credentials of DDS. The NPI Number for Jack Everett Goris is 1710037791 and holds a License No. 12008389 (Indiana).

The current practice location address for Jack Everett Goris 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
person
Provider Profile Details
NPI Number
1710037791
Provider Name
Jack Everett Goris
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1821 Chase Rd, Logansport, IN, 46947-1200
Phone Number
574-753-4542
Fax Number
574-722-5059
Provider Enumeration Date
01/11/2007
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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