John Ray Gordon in San Diego - Oral And Maxillofacial Surgery
John Ray Gordon - NPI 1326030990
John Ray Gordon is a Oral And Maxillofacial Surgery in San Diego, California. John Ray Gordon practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Ray Gordon is 1326030990. The last update date is 2010-11-23.
John Ray Gordon's current location address is 2655 Camino Del Rio N Ste 140, San Diego, California. You can contact this provider via phone number 6192827088 and fax number 6192826290. The mailing address for John Ray Gordon is 2655 Camino Del Rio N Ste 140, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ray Gordon |
|---|---|
| Address | 2655 Camino Del Rio N Ste 140, San Diego, California |
| Phone Number | 6192827088 |
| Fax Number | 6192826290 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1326030990 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2010-11-23 |
Provider Mailing Address Detail
| Address | 2655 Camino Del Rio N Ste 140 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921081633 |
| Phone Number | 6192827088 |
| Fax Number | 6192826290 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 51878 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Post Comment/ Review Below
What is the unique identifier code issued to John Ray Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The John Ray Gordon has been assigned the NPI (National Provider Identifier) 1326030990. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where John Ray Gordon's facilities are geographically located?
The facilities of John Ray Gordon are physically situated at the following location: 2655 Camino Del Rio N Ste 140, San Diego, CA, 921081633.
What is John Ray Gordon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Ray Gordon's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did John Ray Gordon receive its 1326030990 assignment from the Centers for Medicare & Medicaid Services?
The John Ray Gordon was assigned its 1326030990 on 2005-08-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Ray Gordon last refreshed?
The information related to the John Ray Gordon, including its address, specialty, and other relevant details, was last updated on 2010-11-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY