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Clifford Goodwine, DMD

NPI 1679130983 · on the registry since 2019

Practice

Address
11 Canary Ln
Winchester, KY 40391
Phone
(270) 304-6547
Organisation at this address
Crisp Dre Llc
Tim F. Crisp Dmd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
1223P0221X
390200000X
Licence states on file
IL, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky