| Allan L. Goins Jr. Dds, Psc | |
|
67 Long St North Vernon IN 47265-2313 | |
| (812) 346-5451 | |
| (812) 346-8456 |
| Full Name | Allan L. Goins Jr. Dds, Psc |
|---|---|
| Speciality | Dentist |
| Location | 67 Long St, North Vernon, Indiana |
| Authorized Official Name and Position | Allan L Goins (OWNER/DENTIST) |
| Authorized Official Contact | 8123465451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allan L. Goins Jr. Dds, Psc 67 Long St North Vernon IN 47265-2313 Ph: (812) 346-5451 | Allan L. Goins Jr. Dds, Psc 67 Long St North Vernon IN 47265-2313 Ph: (812) 346-5451 |
| NPI Number | 1942680855 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942680855 | NPI | - | NPPES |
| 100194930A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12007859A (Indiana) | Primary |
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