Individual provider · Type 1 NPI
Clifford Kirby Goodwine, DMD
Pediatric Dentistry · Winchester, KY
NPI number
1679130983
Active
Practice location
11 Canary Ln
Winchester, KY 40391-1645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019.033025 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 1170 (KY) |
Pediatric Dentistry: 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.
3 other providers at this address
Other pediatric dentistry providers in Winchester
About NPI 1679130983
Clifford Kirby Goodwine, DMD's National Provider Identifier is 1679130983, issued on May 22, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Winchester, KY. The record was last updated on May 10, 2023.