OrganizationActive
Jack E. Goris D.d.s.,pc
NPI 1588708937 · General Practice Dentistry · Logansport, IN
Jack E. Goris D.d.s.,pc is a General Practice Dentistry organization in Logansport, IN (NPI 1588708937).
Provider details
- NPI number
- 1588708937
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jack Goris, President(574) 753-4542
- License
- 12008389 (IN)
Practice location
1821 Chase Rd
Logansport, IN 46947-1200
Phone: (574) 753-4542
Fax: (574) 722-5059
Street-level locationGet directions
Mailing address
1821 Chase Rd
Logansport, IN 46947-1200
Registry dates
- Enumerated
- 2007-02-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.