| Gregory Goggans, D.m.d., P.c. | |
|
6420 Highway 11 N Ste C Carriere MS 39426-7146 | |
| (601) 799-3120 | |
| Not Available |
| Full Name | Gregory Goggans, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6420 Highway 11 N Ste C, Carriere, Mississippi |
| Authorized Official Name and Position | Gregory Goggans (OWNER) |
| Authorized Official Contact | 8008641582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Goggans, D.m.d., P.c. Po Box 674474 Dallas TX 75267-4474 Ph: (800) 864-1582 | Gregory Goggans, D.m.d., P.c. 6420 Highway 11 N Ste C Carriere MS 39426-7146 Ph: (601) 799-3120 |
| NPI Number | 1790274603 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790274603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3983-18 (Mississippi) | Primary |
Devereux And Nguyen Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6420 Highway 11, Suite C, Carriere, MS 39426 Phone: 601-799-3120 Fax: 601-251-0006 | |
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