Goins, Clay Paul

Goins, Clay Paul is an individual health care provider with primary practice located at 1720 Gunbarrel Rd Suite 310, Chattanooga TN 37421-3192. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Goins, Clay Paul can be contacted via phone (423) 954-9511.

Contact Information

Primary practice address
1720 Gunbarrel Rd Suite 310 Chattanooga TN 37421-3192
Phone: (423) 954-9511
Fax: (423) 954-9912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN013067 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X 8600 Tennessee

Profile Details

NPI number 1871661900
LBN Legal business name Goins, Clay Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871661900 NPPES
Georgia MEDICAID 124812432A
Georgia Other 100199
Georgia Other 9181145

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