SearchKentuckyPediatric Dentistry

Clifford Goodwine, DMD

NPI 1679130983 · on the registry since 2019

Practice

Address
11 Canary Ln
Winchester, KY 40391
Phone
(270) 304-6547
Organisation at this address
Crisp Dre Llc
Tim F. Crisp Dmd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Also registered as
Pediatric Dentistry
Student in an Organized Health Care Education/Training Program
Licence states on file
IL, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky