National Provider Identifier

Catherine M Goodwyn

Catherine M Goodwyn is listed in the NPPES registry with a primary specialty of Dentist in Orchard Park, NY and a listed phone number of (716) 662-4715.

NPI 1386687382Orchard Park, NYDentist

Profile Overview

NPI
1386687382
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
June 14, 2006
Last Updated
September 20, 2012

Practice Location

  • 4949 Ellicott RD
  • Orchard Park, NY 14127-3357

Phone: (716) 662-4715

Specialties

  • Dentist (122300000X)
Full Record
NPI
1386687382
Entity Type
Individual
Last Name
Goodwyn
First Name
Catherine
Middle Name
M
Name Prefix
Dr.
Mailing Street Address
4949 Ellicott RD
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3357
Mailing Country
US
Mailing Phone
(716) 662-4715
Practice Street Address
4949 Ellicott RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-3357
Practice Country
US
Practice Phone
(716) 662-4715
Enumeration Date
June 14, 2006
Last Updated
September 20, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)