OrganizationActive
Ken Goodwin, DMD, PA
NPI 1548673320 · General Practice Dentistry · Booneville, MS
Ken Goodwin, DMD, PA is a General Practice Dentistry organization in Booneville, MS (NPI 1548673320).
Provider details
- NPI number
- 1548673320
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ken Goodwin, Owner(662) 728-8171
- License
- 1971-82 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 N Third St
Booneville, MS 38829-1609
Phone: (662) 728-8171
Fax: (662) 728-1093
Street-level locationGet directions
Mailing address
403 N Third St
Booneville, MS 38829-1609
Other names (DBA / former)
- Doing business as
- Park Place Dental
Registry dates
- Enumerated
- 2014-06-09
- Last updated
- 2014-06-09
Frequently asked questions
- What is Ken Goodwin, DMD, PA's NPI number?
- Ken Goodwin, DMD, PA's National Provider Identifier (NPI) is 1548673320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ken Goodwin, DMD, PA?
- Ken Goodwin, DMD, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ken Goodwin, DMD, PA located?
- Ken Goodwin, DMD, PA's practice location on file with NPPES is 403 N Third St, Booneville, MS 38829-1609.
- What is Ken Goodwin, DMD, PA's phone number?
- The practice phone number listed in the NPPES registry for Ken Goodwin, DMD, PA is (662) 728-8171.
- Who is the authorized official for Ken Goodwin, DMD, PA?
- The authorized official listed on Ken Goodwin, DMD, PA's NPPES record is Ken Goodwin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ken Goodwin, DMD, PA's NPI active?
- Yes — Ken Goodwin, DMD, PA's NPI (1548673320) is active in the NPPES registry as of the last update on 2014-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.