DR. Jeffrey Paul Goedeker

NPI #1427132240 in Camby, Indiana

Provider Information

NPI Number: 1427132240
Entity Type: Individual
Name: DR. Jeffrey Paul Goedeker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8190 WINDFALL LN STE B
City: Camby
State: Indiana
ZIP Code: 46113-7907
Phone: (317) 821-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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