Ryan Lee Gordon is a Endodontics in Richfield, Minnesota. Ryan Lee Gordon practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Ryan Lee Gordon is 1316997240. The last update date is 2007-07-08.
Ryan Lee Gordon's current location address is Po Box 23029, Richfield, Minnesota. You can contact this provider via phone number 6128619123 and fax number 6128619155. The mailing address for Ryan Lee Gordon is Po Box 23029, Richfield, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Lee Gordon |
|---|---|
| Address | Po Box 23029, Richfield, Minnesota |
| Phone Number | 6128619123 |
| Fax Number | 6128619155 |
| Sole Proprietor | X |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1316997240 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 23029 |
|---|---|
| City | Richfield |
| State | Minnesota (MN) |
| Post Code | 55423 |
| Phone Number | 6128619123 |
| Fax Number | 6128619155 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D11620 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to Ryan Lee Gordon by the Centers for Medicare & Medicaid Services?
The Ryan Lee Gordon has been issued the NPI (National Provider Identifier) 1316997240 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ryan Lee Gordon is geographically located?
The Ryan Lee Gordon is physically situated at the following location: Po Box 23029, Richfield, MN, 55423.
What is Ryan Lee Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ryan Lee Gordon is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did Ryan Lee Gordon receive its 1316997240 assignment from the Centers for Medicare & Medicaid Services?
The Ryan Lee Gordon was assigned its 1316997240 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ryan Lee Gordon most recently updated or refreshed?
The details pertaining to the Ryan Lee Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.