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DR. CLIFFORD KIRBY GOODWINE DMD
NPI 1679130983
Dentist - Pediatric Dentistry in Winchester, KY

Active since May 22, 2019
11 CANARY LN, WINCHESTER, KY 40391(270) 304-6547 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, May 22, 2019 (2 updates tracked since 2019).

About Dr. Clifford Kirby Goodwine Dmd NPPES

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

DR. CLIFFORD KIRBY GOODWINE DMD (NPI 1679130983) is an individual pediatric dentistry provider in Winchester, Kentucky, licensed in Kentucky (1170) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1679130983
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CLIFFORD KIRBY GOODWINECredential: DMD
Location Address11 CANARY LNWinchester, KY 40391-1645
Mailing Address11 Canary LnWinchester, KY 40391-1645 · (270) 304-6547
Phone(270) 304-6547
Sole ProprietorNo
Enumeration DateMay 22, 2019
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2021
✔ NPI 1679130983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in KY · 1170✔ Licensed in IL · 019.033025
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11 CANARY LN, Winchester, KY 40391
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

TIM F. CRISP DMD
Dentist
11 CANARY LN
WINCHESTER, KY 40391
Clark County (859) 744-7031
DR. TIMOTHY F. CRISP D.M.D.
Dentist (Pediatric Dentistry)
11 CANARY LN
WINCHESTER, KY 40391
Clark County (859) 744-7031
CRISP DRE LLC
Dentist (Pediatric Dentistry)
11 CANARY LN
WINCHESTER, KY 40391
Clark County (859) 744-7031

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 Clifford Goodwine's NPI number?

The NPI number for Clifford Goodwine is 1679130983. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Clifford Goodwine located?

Clifford Goodwine practices at 11 Canary Ln, Winchester, KY 40391. The listed phone number is (270) 304-6547.

What is Clifford Goodwine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Clifford Goodwine accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Clifford Goodwine 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 Clifford Goodwine was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.