George David Gordon in Portland - Periodontics
George David Gordon - NPI 1669530713
George David Gordon is a Periodontics in Portland, Maine. George David Gordon practices all healthcare services and medical treatments related to Periodontics. The NPI Number for George David Gordon is 1669530713. The last update date is 2007-07-08.
George David Gordon's current location address is 612 Brighton Ave, Portland, Maine. You can contact this provider via phone number 2077727459 and fax number 2078746460. The mailing address for George David Gordon is 612 Brighton Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George David Gordon |
|---|---|
| Address | 612 Brighton Ave, Portland, Maine |
| Phone Number | 2077727459 |
| Fax Number | 2078746460 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1669530713 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 612 Brighton Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022359 |
| Phone Number | 2077727459 |
| Fax Number | 2078746460 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2204 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the George David Gordon's unique identification number?
The George David Gordon has been assigned the NPI (National Provider Identifier) Number 1669530713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where George David Gordon is geographically located?
The George David Gordon is physically situated at the following location: 612 Brighton Ave, Portland, ME, 41022359.
What is George David Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for George David Gordon is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669530713 to George David Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1669530713 to George David Gordon on 2006-12-04.
When was the information regarding George David Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to George David Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.