Mark Richard Gordon in Columbus - Periodontics
Mark Richard Gordon - NPI 1356365126
Mark Richard Gordon is a Periodontics in Columbus, Ohio. Mark Richard Gordon practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark Richard Gordon is 1356365126. The last update date is 2020-11-28.
Mark Richard Gordon's current location address is 305 W 12th Ave, Columbus, Ohio. You can contact this provider via phone number 6146883763. The mailing address for Mark Richard Gordon is 305 W 12th Ave, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Gordon |
|---|---|
| Address | 305 W 12th Ave, Columbus, Ohio |
| Phone Number | 6146883763 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1356365126 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2020-11-28 |
Provider Mailing Address Detail
| Address | 305 W 12th Ave |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432101267 |
| Phone Number | 6146883763 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | VA6393 |
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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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Post Comment/ Review Below
What is the Mark Richard Gordon's 1356365126?
The Mark Richard Gordon's NPI (National Provider Identifier) Number is 1356365126. 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 Mark Richard Gordon is located?
The Mark Richard Gordon is situated at the following address: 305 W 12Th Ave, Columbus, OH, 432101267.
What is Mark Richard Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Richard Gordon's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356365126 to Mark Richard Gordon?
The Mark Richard Gordon received its 1356365126 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information regarding Mark Richard Gordon most recently updated?
The details pertaining to the Mark Richard Gordon, including its address, specialty, and other relevant information, were last refreshed on 2020-11-28.