Individual
DR. RENEE LAURION GOODSPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
40 WINTER ST, SUITE 201, ROCHESTER, NH 03867-3153
(603) 332-7300
(603) 332-7331
Mailing address
40 WINTER ST, SUITE 201, ROCHESTER, NH 03867-3153
(603) 332-7300
(603) 332-7331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1946
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000275
—
NH
01
—
0208107Y0NH02
BCBS PROVIDER ID
NH
01
—
769628
UNITED CONCORDIA PROV ID
NH
Enumeration date
03/27/2007
Last updated
07/09/2007
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