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General NPI Number Information
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NPI Number | 1457497794
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Entity Type | Individual
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Provider Name | JAMES CARLETON GOFF DMD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 310 MAPLE AVE STE 106A
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City | BARRINGTON
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State | RI
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Zip | 02806-3430
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Country | US
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Telephone | 401-289-2490
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Fax | 401-289-2590
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Provider Business Mailing Address
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Address Line | 135 SEAVIEW AVE
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City | SWANSEA
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State | MA
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Zip | 02777-1117
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Country | US
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Telephone | 401-374-1903
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1515
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 19445
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License Number State | MA
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