IndividualActive
Andrew Goodwin, DMD
NPI 1316734726 · Dentist · South Portland, ME
Provider details
- NPI number
- 1316734726
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14014 (CT)
Mailing address
103 Foxcroft Ln
Fayetteville, NY 13066-2503
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.