Colleen M Gordon in Rochester - General Practice

Colleen M Gordon - NPI 1508943200

Colleen M Gordon is a General Practice in Rochester, New York. Colleen M Gordon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Colleen M Gordon is 1508943200. The last update date is 2007-07-08.

Colleen M Gordon's current location address is 612 Thurston Rd, Rochester, New York. You can contact this provider via phone number 5853285029 and fax number 5853285592. The mailing address for Colleen M Gordon is 612 Thurston Rd, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen M Gordon
Address 612 Thurston Rd, Rochester, New York
Phone Number 5853285029
Fax Number 5853285592
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1508943200
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 612 Thurston Rd
City Rochester
State New York (NY)
Post Code 146192131
Phone Number 5853285029
Fax Number 5853285592

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 32203
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
698980 NY --

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FAQs about Colleen M Gordon

What is the Colleen M Gordon's unique identification number?

The Colleen M Gordon has been assigned the NPI (National Provider Identifier) Number 1508943200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Colleen M Gordon's facilities are geographically located?

The facilities of Colleen M Gordon are physically situated at the following location: 612 Thurston Rd, Rochester, NY, 146192131.

What is Colleen M Gordon's area of expertise and its corresponding taxonomy classification?

The Colleen M Gordon's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

When did the Colleen M Gordon receive its 1508943200?

The Colleen M Gordon was issued its 1508943200 on 2006-11-01, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Colleen M Gordon most recently updated or revised?

The information pertaining to Colleen M Gordon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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