Clay Paul Goins in Chattanooga - Pediatric Dentistry

Clay Paul Goins - NPI 1871661900

Clay Paul Goins is a Pediatric Dentistry in Chattanooga, Tennessee. Clay Paul Goins practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Clay Paul Goins is 1871661900. The last update date is 2008-12-16.

Clay Paul Goins's current location address is 1720 Gunbarrel Rd, Chattanooga, Tennessee. You can contact this provider via phone number 4239549511 and fax number 4239549912. The mailing address for Clay Paul Goins is 1720 Gunbarrel Rd, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Clay Paul Goins
Address 1720 Gunbarrel Rd, Chattanooga, Tennessee
Phone Number 4239549511
Fax Number 4239549912
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1871661900
Provider Enumeration Date 2006-11-30
Last Updated Date 2008-12-16

Provider Mailing Address Detail

Address 1720 Gunbarrel Rd
City Chattanooga
State Tennessee (TN)
Post Code 374213192
Phone Number 4239549511
Fax Number 4239549912

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DN013067
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
124812432A GA --
100199 GA AVESIS MEDICAID
9181145 GA DORAL MEDICAID

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FAQs about Clay Paul Goins

What is the Clay Paul Goins's unique identification number?

The Clay Paul Goins has been assigned the NPI (National Provider Identifier) Number 1871661900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Clay Paul Goins's facilities are geographically located?

The facilities of Clay Paul Goins are physically situated at the following location: 1720 Gunbarrel Rd, Chattanooga, TN, 374213192.

What is Clay Paul Goins's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Clay Paul Goins is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Clay Paul Goins receive its 1871661900 assignment from the Centers for Medicare & Medicaid Services?

The Clay Paul Goins was assigned its 1871661900 by the Centers for Medicare & Medicaid Services on 2006-11-30.

As of what date were the details related to Clay Paul Goins most recently updated or revised?

The information pertaining to Clay Paul Goins, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-16.

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