| Kerry S. Goodin, D.d.s., P.c. | |
|
60 W Main St Po Bxo 70 Austin IN 47102-0070 | |
| (812) 794-2255 | |
| Not Available |
| Full Name | Kerry S. Goodin, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 60 W Main St, Austin, Indiana |
| Authorized Official Name and Position | Kerry S Goodin (CEO) |
| Authorized Official Contact | 8127942255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry S. Goodin, D.d.s., P.c. Po Box 70 60 W Main St Austin IN 47102-0070 Ph: (812) 794-2255 | Kerry S. Goodin, D.d.s., P.c. 60 W Main St Po Bxo 70 Austin IN 47102-0070 Ph: (812) 794-2255 |
| NPI Number | 1760564140 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760564140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008972A (Indiana) | Primary |