John T Gordon D.d.s., P.c.
NPI #1033657325 in Islip Terrace, New York
Provider Information
- NPI Number
- 1033657325
- Entity Type
- Organization
- Organization Name
- John T Gordon D.d.s., P.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 7, 2017
- Last Updated
- Feb 7, 2017
Practice Location
- Address
- 111 CARLETON AVE
- Address 2
- STE 1
- City
- Islip Terrace
- State
- New York
- ZIP Code
- 11752-2236
- Phone
- (631) 581-3500
Authorized Official
- Name
- JOHN GORDON, D.D.S.
- Title
- PRESIDENT
- Phone
- (631) 581-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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