MEDICARE: DR. SARAH MARIA GOFF DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D010276	AZ
2	122300000X	Dentist	10861	KY
3	122300000X	Dentist	DD4908	NM

General Provider Information

NPI Number	:	1275028862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH MARIA GOFF DMD

Provider Business Mailing Address
First Line	:	8390 E VIA DE VENTURA STE F200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3177
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 E VIA DE VENTURA STE F200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258
Country	:	US
Telephone Number	:	270-792-8644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	01/25/2023

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