Eric Lawrence Gordon in Parma - Pediatric Dentistry
Eric Lawrence Gordon - NPI 1164636528
Eric Lawrence Gordon is a Pediatric Dentistry in Parma, Ohio. Eric Lawrence Gordon practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Eric Lawrence Gordon is 1164636528. The last update date is 2007-07-08.
Eric Lawrence Gordon's current location address is 7441 W Ridgewood Dr, Parma, Ohio. You can contact this provider via phone number 4408420909 and fax number 4408420910. The mailing address for Eric Lawrence Gordon is 7441 W Ridgewood Dr, Parma, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Lawrence Gordon |
|---|---|
| Address | 7441 W Ridgewood Dr, Parma, Ohio |
| Phone Number | 4408420909 |
| Fax Number | 4408420910 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164636528 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7441 W Ridgewood Dr |
|---|---|
| City | Parma |
| State | Ohio (OH) |
| Post Code | 44129 |
| Phone Number | 4408420909 |
| Fax Number | 4408420910 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 30014538 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 408786 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Eric Lawrence Gordon by the Centers for Medicare & Medicaid Services?
The Eric Lawrence Gordon has been issued the NPI (National Provider Identifier) 1164636528. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Eric Lawrence Gordon is physically located?
The Eric Lawrence Gordon is physically situated at the following address: 7441 W Ridgewood Dr, Parma, OH, 44129.
What is Eric Lawrence 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 Eric Lawrence Gordon is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Eric Lawrence Gordon receive its 1164636528 assignment from the Centers for Medicare & Medicaid Services?
The Eric Lawrence Gordon was assigned its 1164636528 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information regarding Eric Lawrence Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eric Lawrence 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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