Individual provider · Type 1 NPI
Joe Gordon, DDS
Pediatric Dentistry · Lake Forest, IL
NPI number
1124199468
Active
Practice location
514 N Western Ave
Lake Forest, IL 60045-1989
Fax (847) 482-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Lake Forest
About NPI 1124199468
Joe Gordon, DDS's National Provider Identifier is 1124199468, issued on Nov 10, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lake Forest, IL. The record was last updated on Jul 8, 2007.