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General NPI Number Information
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NPI Number | 1538207485
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Entity Type | Organization
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Legal Business Name | JAMES C GOFF DMD LTD
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 09/01/2011
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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
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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
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Country | US
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Telephone | 401-374-1903
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Fax | 401-247-2295
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JAMES C GOFF
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Credential | DMD
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Telephone | 401-374-1903
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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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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1515
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License Number State | RI
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