Individual provider · Type 1 NPI

Jonathan Dales Gordon, DMD

General Practice Dentistry · Jacksonville, FL

NPI number 1255669727 Active

About NPI 1255669727

Jonathan Dales Gordon, DMD's National Provider Identifier is 1255669727, issued on Nov 21, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 14, 2009.