Jack E. Goris D.d.s.,pc
NPI #1588708937 in Logansport, Indiana
Provider Information
- NPI Number
- 1588708937
- Entity Type
- Organization
- Organization Name
- Jack E. Goris D.d.s.,pc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1821 CHASE RD
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1200
- Phone
- (574) 753-4542
Authorized Official
- Name
- JACK E. GORIS, D.D.S.
- Title
- PRESIDENT
- Phone
- (574) 753-4542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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