Douglass K Gordon in Greenville - Orthodontics And Dentofacial Orthopedics

Douglass K Gordon - NPI 1346337763

Douglass K Gordon is a Orthodontics And Dentofacial Orthopedics in Greenville, Ohio. Douglass K Gordon practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Douglass K Gordon is 1346337763. The last update date is 2007-07-08.

Douglass K Gordon's current location address is 140 Shawnee St, Greenville, Ohio. You can contact this provider via phone number 9375480755 and fax number 9375489787. The mailing address for Douglass K Gordon is 140 Shawnee St, Greenville, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglass K Gordon
Address 140 Shawnee St, Greenville, Ohio
Phone Number 9375480755
Fax Number 9375489787
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1346337763
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 140 Shawnee St
City Greenville
State Ohio (OH)
Post Code 453312529
Phone Number 9375480755
Fax Number 9375489787

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 30019792
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Douglass K Gordon

What is the unique 10-digit identifier code issued to Douglass K Gordon by the Centers for Medicare & Medicaid Services?

The Douglass K Gordon has been assigned the NPI (National Provider Identifier) 1346337763 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Douglass K Gordon located?

The Douglass K Gordon is located at 140 Shawnee St, Greenville, OH 453312529.

What is Douglass K Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Douglass K Gordon is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346337763 to Douglass K Gordon?

The Centers for Medicare & Medicaid Services originally issued the 1346337763 to Douglass K Gordon on 2006-10-06.

When was the information regarding Douglass K Gordon most recently updated?

The details pertaining to the Douglass K Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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