Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710037791 Individual Practitioner Male Practitioner

Dr. Jack Everett Goris , DDS

Dentist - General Practice • Logansport, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jack Goris, DDS is a registered healthcare professional specializing in Dentist - General Practice in Logansport, IN. Practice services are available at 1821 CHASE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1821 Chase Rd

Logansport, IN 469471200

Telephone 5747534542
Fax 5747225059
Associated Practice Facility / Clinic
🏢 Jack E. Goris D.d.s.,pc Facility NPI 1588708937

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Logansport, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Logansport, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12008389

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Esi Parker , DMD

Dentist - General Practice

NPI 1083276950

Doctor of Dental Medicine

Dr. Travis Parker , DMD

Dentist - General Practice

NPI 1972155091

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1821 CHASE RD, LOGANSPORT, IN 469471200 (Tel: 5747534542)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1821 CHASE RD, LOGANSPORT, IN 469471200 (Tel: 5747534542)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GORIS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12008389 in IN)

🟢
Initial NPI Registration & Enumeration January 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710037791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1821 Chase Rd

Logansport, IN 469471200

Phone: 5747534542

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.