Douglas James Gordon in Renton - Dentist
Douglas James Gordon - NPI 1457363707
Douglas James Gordon is a Dentist in Renton, Washington. Douglas James Gordon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas James Gordon is 1457363707. The last update date is 2020-12-15.
Douglas James Gordon's current location address is 955 Powell Ave Sw, Renton, Washington. You can contact this provider via phone number 4252771311 and fax number 4252771566. The mailing address for Douglas James Gordon is 955 Powell Ave Sw, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas James Gordon |
|---|---|
| Address | 955 Powell Ave Sw, Renton, Washington |
| Phone Number | 4252771311 |
| Fax Number | 4252771566 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457363707 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2020-12-15 |
Provider Mailing Address Detail
| Address | 955 Powell Ave Sw |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980572908 |
| Phone Number | 4252771311 |
| Fax Number | 4252771566 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | CA25712 |
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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 identification code assigned to Douglas James Gordon by the Centers for Medicare & Medicaid Services?
The Douglas James Gordon has been issued the NPI (National Provider Identifier) 1457363707. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Douglas James Gordon?
The Douglas James Gordon is situated at 955 Powell Ave Sw, in the city of Renton, state of WA, with the zip code 980572908.
What is the Douglas James Gordon's specialty and taxonomy code?
The Douglas James Gordon's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Douglas James Gordon receive its 1457363707 assignment?
The Douglas James Gordon was assigned its 1457363707 on 2006-08-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Douglas James Gordon most recently updated or revised?
The information pertaining to Douglas James Gordon, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-15.