Audrey E Gordon in Orangeburg - Pediatric Dentistry
Audrey E Gordon - NPI 1760542302
Audrey E Gordon is a Pediatric Dentistry in Orangeburg, South Carolina. Audrey E Gordon practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Audrey E Gordon is 1760542302. The last update date is 2007-07-08.
Audrey E Gordon's current location address is 157 Centre St, Orangeburg, South Carolina. You can contact this provider via phone number 8035360405 and fax number 8035363533. The mailing address for Audrey E Gordon is 157 Centre St, Orangeburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey E Gordon |
|---|---|
| Address | 157 Centre St, Orangeburg, South Carolina |
| Phone Number | 8035360405 |
| Fax Number | 8035363533 |
| Sole Proprietor | Y |
| Credentials | D. D. S. |
NPI Number Detail
| NPI Number | 1760542302 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 157 Centre St |
|---|---|
| City | Orangeburg |
| State | South Carolina (SC) |
| Post Code | 291156043 |
| Phone Number | 8035360405 |
| Fax Number | 8035363533 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3397 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Audrey E Gordon by the Centers for Medicare & Medicaid Services?
The Audrey E Gordon has been issued the NPI (National Provider Identifier) 1760542302 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 location address where Audrey E Gordon's facilities are situated?
The facilities of Audrey E Gordon are physically located at the following address: 157 Centre St, Orangeburg, SC, 291156043.
What is Audrey E Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Audrey E Gordon's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When was the Audrey E Gordon's 1760542302 issued?
The Audrey E Gordon's 1760542302 was issued on 2006-12-12.
When was the information pertaining to Audrey E Gordon most recently updated or revised?
The details related to Audrey E Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.