NPI 1164629283

Bracken Robert Godfrey, DDSMS

Practitioner General Practice Dentistry Somersworth, NH

Practice location

Address: 8 Clark Way, Somersworth, NH 03878-4403
Phone: (603) 692-2045
Mailing address: Psc 561 Box 781, Fpo, AP 96310-0008

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4479 (NH)

Other Dentist providers in New Hampshire →

Dentist

Dental Providers Taxonomy 122300000X Licence D-4082 (ID)

Registry record

NPI: 1164629283
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2007
Record last updated: 17 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.