L RENEE GOODWIN DDS INC NPI 1568643948

NPI Information

  • NPI: 1568643948
  • Provider Name: L RENEE GOODWIN DDS INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 100 N. BROADWAY STREET
    OAKTOWN, IN
    ZIP 47561
  • Phone: (812) 745-4151

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NPI Details

L RENEE GOODWIN DDS INC is a general practice dentist in Oaktown, IN. The provider is 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. L RENEE GOODWIN DDS INC NPI is 1568643948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 N. BROADWAY STREET
OAKTOWN, IN
ZIP 47561-269
Phone: (812) 745-4151
Fax: (812) 745-4152

The provider's authorized official is Leah R Goodwin .
The authorized official title is Owner and has the following contact phone number (812) 745-4151.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 4/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice12010355AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200357310MEDICAIDINDIANA
2200418020MEDICAIDINDIANA
3200435290MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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