Jack Goris, D.D.S

NPI 1710037791 · on the registry since 2007 · sole proprietor

Practice

Address: 1821 Chase Rd
Logansport, IN 46947
Phone: (574) 753-4542
Fax: (574) 722-5059
Organisation at this address: Jack E. Goris D.D.S.,Pc
Esi And Travis Parker Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Indiana