| Goshen Family Dentistry | |
|
1625 Sunnyfield Dr Goshen IN 46526-9264 | |
| (574) 534-5582 | |
| (574) 534-8146 |
| Full Name | Goshen Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1625 Sunnyfield Dr, Goshen, Indiana |
| Authorized Official Name and Position | Mark Deal (PRESIDENT) |
| Authorized Official Contact | 5745345528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Family Dentistry 1625 Sunnyfield Dr Goshen IN 46526-9264 Ph: (574) 534-5582 | Goshen Family Dentistry 1625 Sunnyfield Dr Goshen IN 46526-9264 Ph: (574) 534-5582 |
| NPI Number | 1770790149 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770790149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010108 (Indiana) | Primary |
| 1223G0001X | Dentist - General Practice | 12010143 (Indiana) | Secondary |
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