St Christopher Augustus Gordon in Sunrise - Dentist
St Christopher Augustus Gordon - NPI 1073723490
St Christopher Augustus Gordon is a Dentist in Sunrise, Florida. St Christopher Augustus Gordon practices all healthcare services and medical treatments related to Dentist. The NPI Number for St Christopher Augustus Gordon is 1073723490. The last update date is 2007-07-08.
St Christopher Augustus Gordon's current location address is 4956 Nw 88th Ave, Sunrise, Florida. You can contact this provider via phone number 9547425355 and fax number 9547427658. The mailing address for St Christopher Augustus Gordon is 4956 Nw 88th Ave, Sunrise, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | St Christopher Augustus Gordon |
|---|---|
| Address | 4956 Nw 88th Ave, Sunrise, Florida |
| Phone Number | 9547425355 |
| Fax Number | 9547427658 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1073723490 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4956 Nw 88th Ave |
|---|---|
| City | Sunrise |
| State | Florida (FL) |
| Post Code | 333515314 |
| Phone Number | 9547425355 |
| Fax Number | 9547427658 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN14183 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to St Christopher Augustus Gordon by the Centers for Medicare & Medicaid Services?
The St Christopher Augustus Gordon has been assigned the NPI (National Provider Identifier) 1073723490. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the St Christopher Augustus Gordon's physical address?
The St Christopher Augustus Gordon is physically located at 4956 Nw 88Th Ave, in the city of Sunrise, FL, with the postal code 333515314.
What is St Christopher Augustus Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for St Christopher Augustus Gordon is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073723490 to St Christopher Augustus Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1073723490 to St Christopher Augustus Gordon on 2007-05-23.
When was the information regarding St Christopher Augustus Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to St Christopher Augustus Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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