Individual
DR. PAUL MICHAEL GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
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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