Provider Demographics
NPI:1881323335
Name:GOFF, DANA CATHERINE (DMD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:CATHERINE
Last Name:GOFF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 EWING FORD RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-7950
Mailing Address - Country:US
Mailing Address - Phone:270-991-2048
Mailing Address - Fax:
Practice Address - Street 1:8101 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-8081
Practice Address - Country:US
Practice Address - Phone:317-272-6990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013821A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist