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JEFFREY S. MCCOY SUSAN FOWLER GOODWIN D.D.S. INC.
NPI 1245447200
Dentist - General Practice in Logan, WV

Active since May 17, 2007
127 PROSPERITY LN, LOGAN, WV 25601(304) 752-4801(304) 752-4825 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY S. MCCOY SUSAN FOWLER GOODWIN D.D.S. INC. (NPI 1245447200) is a healthcare organization registered as a general practice in Logan, West Virginia and active in the NPI registry since May 2007. The organization lists Jeffrey S Mccoy, Owner, as its authorized official.

NPPES Registry Identity

NPI1245447200
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJEFFREY S. MCCOY SUSAN FOWLER GOODWIN D.D.S. INC.
Location Address127 PROSPERITY LNLogan, WV 25601-3488
Mailing Address127 Prosperity LnLogan, WV 25601-3488 · (304) 752-4801 · Fax (304) 752-4825
Phone(304) 752-4801
Fax(304) 752-4825
Organization SubpartNo
Authorized OfficialJeffrey S MccoyOwner · (304) 752-4801
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245447200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
127 PROSPERITY LN, Logan, WV 25601
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Other Identifiers 1

Medicaid3810006292WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAWN EVERETT BALLARD DDS
Dentist
127 PROSPERITY LN
LOGAN, WV 25601
Logan County (304) 752-4801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc.'s NPI number?

The NPI number for Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc. is 1245447200. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc. located?

Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc. is located at 127 Prosperity Ln, Logan, WV 25601. The listed phone number is (304) 752-4801.

What is Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc. accept?

Health plans from UnitedHealthcare list Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey S. Mccoy Susan Fowler Goodwin D.D.S. Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.