Provider Demographics
NPI:1013247543
Name:GOFF, WILLIAM ALFRED (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALFRED
Last Name:GOFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 CRYSTAL DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3711
Mailing Address - Country:US
Mailing Address - Phone:703-892-0883
Mailing Address - Fax:703-892-0885
Practice Address - Street 1:2231 CRYSTAL DR
Practice Address - Street 2:SUITE 150
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3711
Practice Address - Country:US
Practice Address - Phone:703-892-0883
Practice Address - Fax:703-892-0885
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA052731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice