Provider Demographics
NPI:1306891833
Name:GOINS, FELICIA L (DDS)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:L
Last Name:GOINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 TRENHOLM ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-1725
Mailing Address - Country:US
Mailing Address - Phone:803-736-6000
Mailing Address - Fax:803-736-6084
Practice Address - Street 1:7701 TRENHOLM ROAD EXT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-1725
Practice Address - Country:US
Practice Address - Phone:803-736-6000
Practice Address - Fax:803-736-6084
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2719-333PD1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZ27196Medicaid