Individual provider · Type 1 NPI

Michael Wynn Godfrey, DMD

General Practice Dentistry · Pocatello, ID

NPI number 1275605933 Active

About NPI 1275605933

Michael Wynn Godfrey, DMD's National Provider Identifier is 1275605933, issued on Nov 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.