Individual provider · Type 1 NPI

Stephen Jerome Gordon, DDS

General Practice Dentistry · Chicago, IL

NPI number 1114954146 Active

About NPI 1114954146

Stephen Jerome Gordon, DDS's National Provider Identifier is 1114954146, issued on Jun 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Feb 4, 2010.