Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc.
Dental Clinic
127 Prosperity Ln, Logan
West Virginia, 25601-3488
304-752-4801 304-752-4825
Maps & DirectionsJeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. is a Dental Clinic in Logan, West Virginia. It is located at 127 Prosperity Ln, Logan, WV and its contact number is 304-752-4801. The authorized person for Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. is Jeffrey S Mccoy
who is Owner of the clinic and their contact number is 304-752-4801.
Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 127 Prosperity Ln, Logan,
West Virginia, 25601-3488 |
| Phone: | 304-752-4801 |
| Fax: | 304-752-4825 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey S Mccoy |
| Position: | Owner |
| Contact Number: | 304-752-4801 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. clinic are as mentioned below.
| NPI Number: | 1245447200 |
| NPI Enumeration Date: | 17 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3810006292 | Medicaid | West Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc.
127 Prosperity Ln,
Logan, West Virginia |
| Zip: | 25601-3488 |
| Phone Number: | 304-752-4801 |
| Fax Number: | 304-752-4825 |
Patients can reach Jeffrey S. Mccoy Susan Fowler Goodwin D.d.s. Inc. at
127 Prosperity Ln, Logan, West Virginia or can
call to book an appointment on 304-752-4801.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.