Connie Lutz Godwin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

13312 Issued in NC

Practice address

1015 E Church St
Cherryville, NC 28021-2916

Phone

(704) 435-6916

NPI assigned

Jul 3, 2023

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashley M Collins DDS PA

  • General Practice Dentistry
  • Denver, NC
  • NPI 1104060615
  NPD (past)
• Cherryville Dental Clinic

  • Dentist
  • Cherryville, NC
  • NPI 1386828614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1750068409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212916",
            "telephone_number": "704-435-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212916",
            "telephone_number": "704-435-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "CONNIE",
        "middle_name": "LUTZ",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaston Family Health Services, Inc. (Kintegra at Cherryville High)
• Gaston Family Health Services, Inc. (Kintegra at Chavis Middle)
• Gaston Family Health Services, Inc. (Kintegra at W.B. Beam Intermediate)
• Gaston Family Health Services, Inc. (Kintegra at Cherryville Elementary)
• Gaston Residential Services, Icf/Mr, Inc.
• Frances Suttle Greene, MSW, LCSW
• Stephanie Eason Greene
• Allison Haney, LCSWA
• Healthy at Home LLC
• Sandra D'Ann Hill Markland, M.ED., CCC-SLP

• Dentist in Cherryville, NC
• Providers in Cherryville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.