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Dr. Ken G Goodwin, DMD,PA
General Practice Dentistry in Booneville, Mississippi
NPI 1902992043

Ken G Goodwin is a General Practice Dentistry based in Booneville, MS and is specialized in General Practice. Ken G Goodwin practices in Booneville, MS and has the professional credentials of DMD,PA. The NPI Number for Ken G Goodwin is 1902992043 and holds a License No. 1971-82 (Mississippi).

The current practice location address for Ken G Goodwin is 403 North Third Street, Booneville, MS and can be reached out via phone at 662-728-8171 and via fax at 662-728-1093. You can also correspond with Ken G Goodwin through the mailing address at PO BOX 877, BOONEVILLE, MS - 38829-0877 (mailing address contact number: 662-728-8171).

Location: 403 North Third Street, Booneville, MS, 38829-0877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902992043
Provider Name
Ken G Goodwin
Credential
DMD,PA
Provider Entity Type
Individual
Gender
Male
Address
403 North Third Street, Booneville, MS, 38829-0877
Phone Number
662-728-8171
Fax Number
662-728-1093
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
403 North Third Street
City
Booneville
State
Mississippi
Zip
38829
Phone Number
662-728-8171
Fax Number
662-728-1093
person
Provider Business Mailing Address Details
Address
403 North Third Street
City
Booneville
State
Mississippi
Zip
38829
Phone Number
662-728-8171
Fax Number
662-728-1093
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1971-82 (Mississippi)
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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