Jacob Martin Gordon in Woodmere - Prosthodontics
Jacob Martin Gordon - NPI 1508885492
Jacob Martin Gordon is a Prosthodontics in Woodmere, New York. Jacob Martin Gordon practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Jacob Martin Gordon is 1508885492. The last update date is 2007-07-08.
Jacob Martin Gordon's current location address is 1021 Cedar Ln, Woodmere, New York. You can contact this provider via phone number 5165694653. The mailing address for Jacob Martin Gordon is 1021 Cedar Ln, Woodmere, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Martin Gordon |
|---|---|
| Address | 1021 Cedar Ln, Woodmere, New York |
| Phone Number | 5165694653 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508885492 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1021 Cedar Ln |
|---|---|
| City | Woodmere |
| State | New York (NY) |
| Post Code | 115981211 |
| Phone Number | 5165694653 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 28796 |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacob Martin Gordon by the Centers for Medicare & Medicaid Services?
The Jacob Martin Gordon has been issued the NPI (National Provider Identifier) 1508885492, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacob Martin Gordon is physically located?
The Jacob Martin Gordon is situated at the following address: 1021 Cedar Ln, Woodmere, NY 115981211.
What is the Jacob Martin Gordon's area of specialization and corresponding taxonomy classification?
The Jacob Martin Gordon's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1508885492 to Jacob Martin Gordon?
The Centers for Medicare & Medicaid Services assigned the 1508885492 to Jacob Martin Gordon on 2006-07-19.
When was the information related to Jacob Martin Gordon most recently updated or refreshed?
The details pertaining to the Jacob Martin Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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