Active NPIIndividual providerSole proprietor

Andrew C Goodwin, DMD

Dentist in South Portland, Maine

NPI Number1316734726
Practice location
192 Western Ave, South Portland, ME 04106-2428
Fax
—
Last updated
April 21, 2025

Andrew Christopher Goodwin is a Dentist based in South Portland, ME. Andrew Christopher Goodwin practices in South Portland, ME and has the professional credentials of DMD. The NPI Number for Andrew Christopher Goodwin is 1316734726 and holds a License No. 14014 (CT). The current practice location address for Andrew Christopher Goodwin is 192 Western Ave, South Portland, ME 04106-2428 and can be reached out via phone at 207-405-0004.

Provider Profile Details

NPI Number
1316734726
Provider Name
Andrew Christopher Goodwin
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
192 Western Ave, South Portland, ME 04106-2428
Phone Number
207-405-0004
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
April 21, 2025
Last Update Date
April 21, 2025
Certification Date
April 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
192 Western Ave
South Portland, ME 04106-2428
State
Maine
Zip
04106-2428
Phone Number
207-405-0004
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
103 Foxcroft Ln
Fayetteville, NY 13066-2503
City
Fayetteville
State
NY
Zip
13066-2503
Phone Number
315-530-5710

License Information

License Number
14014
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrew C Goodwin, DMD?

The NPI number of Andrew C Goodwin, DMD is 1316734726. It was assigned on April 21, 2025 and is currently active in the NPPES registry.

What is the specialty of Andrew C Goodwin, DMD?

Andrew C Goodwin, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 14014.

Where does Andrew C Goodwin, DMD practice?

The practice location is 192 Western Ave, South Portland, ME 04106-2428. The office can be reached at 207-405-0004 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316734726 directly on the NPPES registry website.

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