PARK PLACE DENTAL
NPI 1548673320
Dentist - General Practice in Booneville, MS

Q: What is Ken Goodwin, Dmd, PA's NPI number?

The NPI number for Ken Goodwin, Dmd, PA is 1548673320. It was assigned to this organization in the NPPES registry on June 9, 2014. The provider is doing business as Park Place Dental.

Q: What is Ken Goodwin, Dmd, PA's specialty?

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

Active since June 09, 2014

403 N THIRD ST, BOONEVILLE, MS 38829(662) 728-8171(662) 728-1093 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Park Place Dental NPPES

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

PARK PLACE DENTAL (NPI 1548673320) is a healthcare organization registered as a general practice in Booneville, Mississippi and active in the NPI registry since June 2014. The organization lists Ken G Goodwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1548673320

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKEN GOODWIN, DMD, PA

Location Address403 N THIRD STBooneville, MS 38829-1609

Mailing Address403 N Third StBooneville, MS 38829-1609 · (662) 728-8171 · Fax (662) 728-1093

Phone(662) 728-8171

Fax(662) 728-1093

Organization SubpartNo

Authorized OfficialKen G GoodwinOwner · (662) 728-8171

Enumeration DateJune 9, 2014

✔ NPI 1548673320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 1971-82

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.

403 N THIRD ST, Booneville, MS 38829

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Other Names 1

Doing Business AsPark Place Dental

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 SINGLE SPECIALTY GROUP

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 Ken Goodwin, Dmd, PA's NPI number?

The NPI number for Ken Goodwin, Dmd, PA is 1548673320. It was assigned to this organization in the NPPES registry on June 9, 2014. The provider is doing business as Park Place Dental.

Where is Ken Goodwin, Dmd, PA located?

Ken Goodwin, Dmd, PA is located at 403 N Third St, Booneville, MS 38829. The listed phone number is (662) 728-8171.

What is Ken Goodwin, Dmd, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Ken Goodwin, Dmd, PA was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.