Provider Demographics
NPI:1457497794
Name:GOFF, JAMES CARLETON (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARLETON
Last Name:GOFF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-1117
Mailing Address - Country:US
Mailing Address - Phone:401-374-1903
Mailing Address - Fax:
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:02806-3430
Practice Address - Country:US
Practice Address - Phone:401-289-2490
Practice Address - Fax:401-289-2590
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1515122300000X
MA19445122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist