Mathew Charles Gordon in San Antonio - Oral And Maxillofacial Surgery
Mathew Charles Gordon - NPI 1265591382
Mathew Charles Gordon is a Oral And Maxillofacial Surgery in San Antonio, Texas. Mathew Charles Gordon practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mathew Charles Gordon is 1265591382. The last update date is 2007-07-09.
Mathew Charles Gordon's current location address is 430 Devine Rd, San Antonio, Texas. You can contact this provider via phone number 2108244501 and fax number 2108240125. The mailing address for Mathew Charles Gordon is 430 Devine Rd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mathew Charles Gordon |
|---|---|
| Address | 430 Devine Rd, San Antonio, Texas |
| Phone Number | 2108244501 |
| Fax Number | 2108240125 |
| Sole Proprietor | Y |
| Credentials | M.D. D.D |
NPI Number Detail
| NPI Number | 1265591382 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 430 Devine Rd |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782122527 |
| Phone Number | 2108244501 |
| Fax Number | 2108240125 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | K6594 |
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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. |
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Post Comment/ Review Below
What is the Mathew Charles Gordon's 1265591382?
The Mathew Charles Gordon's NPI (National Provider Identifier) Number is 1265591382. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mathew Charles Gordon is located?
The Mathew Charles Gordon is situated at the following address: 430 Devine Rd, San Antonio, TX, 782122527.
What is Mathew Charles Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mathew Charles Gordon is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date was the 1265591382 assigned to Mathew Charles Gordon?
The Mathew Charles Gordon was issued its 1265591382 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mathew Charles Gordon last refreshed?
The information related to the Mathew Charles Gordon, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA