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Andrew Christopher Goodwin, DMD

Dentist in South Portland, ME. Individual provider (NPI-1).

NPI number1316734726
StatusActive
Last updated in NPPESApr 21, 2025

Details

NPI
1316734726
Entity type
Individual (NPI-1)
Name
Andrew Christopher Goodwin
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 21, 2025
Certification date
Apr 21, 2025
Last updated
Apr 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist14014CTYes

Practice location

192 Western Ave
South Portland, ME 04106-2428

Phone 207-405-0004

Mailing address

103 Foxcroft Ln
Fayetteville, NY 13066-2503

Phone 315-530-5710

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