Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ken Goodwin, DMD, PA

Organization General Practice Dentistry · NPI 1548673320

Ken Goodwin, DMD, PA is a General Practice Dentistry in Booneville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

403 N Third St
Booneville, MS 38829-1609
Phone: (662) 728-8171
Fax: (662) 728-1093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1971-82 (MS)

Record details

NPI number1548673320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ken Goodwin — Owner · (662) 728-8171
Other names Park Place Dental
NPI enumeratedJune 9, 2014
Last updated in NPPESJune 9, 2014
Mailing address403 N Third St, Booneville, MS 38829-1609

Other providers in Booneville