Individual provider · Type 1 NPI

Ken G. Goodwin, DMD, PA

General Practice Dentistry · Booneville, MS

NPI number 1902992043 Active

Practice location

403 North Third Street
Booneville, MS 38829

Call (662) 728-8171 Map

Fax (662) 728-1093

Mailing address

PO Box 877
Booneville, MS 38829-0877

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1971-82 (MS)

General Practice Dentistry: 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.

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About NPI 1902992043

Ken G. Goodwin, DMD, PA's National Provider Identifier is 1902992043, issued on Oct 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Booneville, MS. The record was last updated on Jun 10, 2026.