Individual
PATRICIA GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
23678 US HIGHWAY 98, FAIRHOPE, AL 36532-3336
(251) 928-8770
Mailing address
306 FLY CREEK AVE UNIT 3404, FAIRHOPE, AL 36532-3530
(607) 279-2170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0007045
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
06/06/2022
Last updated
01/08/2025
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