Provider Demographics
NPI:1205942935
Name:RODNEY L GOINS DMD
Entity type:Organization
Organization Name:RODNEY L GOINS DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GOINS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-752-5400
Mailing Address - Street 1:1434 2ND COURT EAST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401
Mailing Address - Country:US
Mailing Address - Phone:205-752-5400
Mailing Address - Fax:205-752-5311
Practice Address - Street 1:1434 2ND COURT EAST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:205-752-5400
Practice Address - Fax:205-752-5311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3504122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty