Stephney Elise Gordon in Mcmurray - Periodontics

Stephney Elise Gordon - NPI 1336353085

Stephney Elise Gordon is a Periodontics in Mcmurray, Pennsylvania. Stephney Elise Gordon practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stephney Elise Gordon is 1336353085. The last update date is 2007-07-08.

Stephney Elise Gordon's current location address is 206 Cedarbrook Ct, Mcmurray, Pennsylvania. You can contact this provider via phone number 7247479253. The mailing address for Stephney Elise Gordon is 206 Cedarbrook Ct, Mcmurray, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephney Elise Gordon
Address 206 Cedarbrook Ct, Mcmurray, Pennsylvania
Phone Number 7247479253
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1336353085
Provider Enumeration Date 2007-05-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 206 Cedarbrook Ct
City Mcmurray
State Pennsylvania (PA)
Post Code 153173545
Phone Number 7247479253
Fax Number

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DS029683L
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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FAQs about Stephney Elise Gordon

What is the unique identifier code issued to Stephney Elise Gordon by the Centers for Medicare & Medicaid Services?

The Stephney Elise Gordon has been assigned the NPI (National Provider Identifier) 1336353085. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Stephney Elise Gordon's facilities are situated?

The facilities of Stephney Elise Gordon are physically located at the following address: 206 Cedarbrook Ct, Mcmurray, PA, 153173545.

What is Stephney Elise Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephney Elise Gordon's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.

On what date did the Stephney Elise Gordon receive the assignment of its 1336353085 from the Centers for Medicare & Medicaid Services?

The Stephney Elise Gordon was issued its 1336353085 by the Centers for Medicare & Medicaid Services on 2007-05-10.

As of what date was the information pertaining to Stephney Elise Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephney Elise Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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