Provider Demographics
NPI:1902071525
Name:NANNETTE GOYER DDS PLLC
Entity Type:Organization
Organization Name:NANNETTE GOYER DDS PLLC
Other - Org Name:INLAND FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NANNETTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOYER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-525-7250
Mailing Address - Street 1:217 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3002
Mailing Address - Country:US
Mailing Address - Phone:509-525-7250
Mailing Address - Fax:509-526-5295
Practice Address - Street 1:217 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-3002
Practice Address - Country:US
Practice Address - Phone:509-525-7250
Practice Address - Fax:509-526-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8133122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty