Provider Demographics
NPI:1538207485
Name:JAMES C GOFF DMD LTD
Entity type:Organization
Organization Name:JAMES C GOFF DMD LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-374-1903
Mailing Address - Street 1:135 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777
Mailing Address - Country:US
Mailing Address - Phone:401-374-1903
Mailing Address - Fax:401-247-2295
Practice Address - Street 1:310 MAPLE AVE
Practice Address - Street 2:STE 106A
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806
Practice Address - Country:US
Practice Address - Phone:401-289-2490
Practice Address - Fax:401-289-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1515122300000X, 1223G0001X
MA19445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty