Leslie R Gordon is a Dentist in Memphis, Tennessee. Leslie R Gordon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Leslie R Gordon is 1235352543. The last update date is 2007-07-08.
Leslie R Gordon's current location address is 3240 River Valley Ln, Memphis, Tennessee. You can contact this provider via phone number 9015447600 and fax number 9015447602. The mailing address for Leslie R Gordon is 3240 River Valley Ln, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie R Gordon |
|---|---|
| Address | 3240 River Valley Ln, Memphis, Tennessee |
| Phone Number | 9015447600 |
| Fax Number | 9015447602 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1235352543 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3240 River Valley Ln |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381198090 |
| Phone Number | 9015447600 |
| Fax Number | 9015447602 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS8483 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DS8483 | TN | DENTIST LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Leslie R Gordon by the Centers for Medicare & Medicaid Services?
The Leslie R Gordon has been issued the NPI (National Provider Identifier) 1235352543. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Leslie R Gordon's physical address?
The Leslie R Gordon is physically located at 3240 River Valley Ln, in the city of Memphis, TN, with the postal code 381198090.
What is Leslie R Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Leslie R Gordon is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Leslie R Gordon receive the assignment of its 1235352543 from the Centers for Medicare & Medicaid Services?
The Leslie R Gordon was issued its 1235352543 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date was the information pertaining to Leslie R Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leslie R Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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