Search › Mississippi › 1223G0001X
Ken Goodwin, DMD, PA
NPI 1902992043 · on the registry since 2006 · sole proprietor
Practice
- Address
- 403 North Third Street
Booneville, MS 38829 - Phone
- (662) 728-8171
- Fax
- (662) 728-1093
- Organisation at this address
- Ken Goodwin, Dmd, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-10
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 Mississippi