| Jack Everett Goris, DDS | |
|
1821 Chase Rd, Logansport, IN 46947-1200 | |
| (574) 753-4542 | |
| (574) 722-5059 |
| Full Name | Jack Everett Goris |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1821 Chase Rd, Logansport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710037791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008389 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Everett Goris, DDS 1821 Chase Rd, Logansport, IN 46947-1200 Ph: (574) 753-4542 | Jack Everett Goris, DDS 1821 Chase Rd, Logansport, IN 46947-1200 Ph: (574) 753-4542 |
Dr. Esi Parker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1821 Chase Rd, Logansport, IN 46947 Phone: 574-753-4542 | |
Dr. George Dalton Ranshaw, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2001 E Broadway, Logansport, IN 46947 Phone: 812-584-8077 | |
Paul David Hillis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 718 E Broadway, Logansport, IN 46947 Phone: 574-754-4717 | |
Dr. Jay V Lewis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2401 E Broadway, Logansport, IN 46947 Phone: 574-722-3107 | |
Dr. Wendy Diann Maple, DDS Dentist Medicare: Medicare Enrolled Practice Location: 718 E Broadway, Logansport, IN 46947 Phone: 574-753-4717 Fax: 574-732-1076 | |
Kelsey Jo Mccoy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1601 Chase Rd, Logansport, IN 46947 Phone: 574-732-0000 |