DR. John Gordon, D.D.S.
NPI #1801999719 in Islip Terrace, New York
Provider Information
- NPI Number
- 1801999719
- Entity Type
- Individual
- Name
- DR. John Gordon, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 111 CARLETON AVE
- Address 2
- SUITE 1
- City
- Islip Terrace
- State
- New York
- ZIP Code
- 11752-2236
- Phone
- (631) 581-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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