Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ken G Goodwin, DMD, PA

Individual provider General Practice Dentistry · NPI 1902992043

Dr. Ken G Goodwin, DMD, PA is a General Practice Dentistry in Booneville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

403 N Third St
Booneville, MS 38829
Phone: (662) 728-8171
Fax: (662) 728-1093
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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 number1902992043
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , PA
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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