Individual
DR. PAUL MICHAEL GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-5447
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8101
SC
1223E0200X
Endodontics
Primary
2016021018
MO
1223G0001X
General Practice Dentistry
9101
NC
Other
Enumeration date
08/06/2012
Last updated
08/25/2025
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