D.D.S. Jack Everett Goris, NPI 1710037791
General Practice Dentistry in Logansport, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710037791
NPI Entity Type Individual
Provider Name D.D.S. Jack Everett Goris
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1821 Chase Rd, Logansport, IN, US
Provider Mailing Address 1821 Chase Rd, Logansport, IN, US, 469471200
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

1223G0001X

Taxonomy Name General Practice Dentistry
Classification

Dentist

Group

Dental Providers

License No. 12008389
License State IN
Description 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.

Business Address

D.D.S. Jack Everett Goris
1821 Chase Rd

Logansport, IN, US

Phone: 574-753-4542
Fax: 574-722-5059

Mailing Address

D.D.S. Jack Everett Goris
1821 Chase Rd
Logansport, IN, US
ZIP 469471200
Phone: 574-753-4542
Fax: 574-722-5059

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