Individual provider · Type 1 NPI

George David Gordon, DMD

Periodontics · Portland, ME

NPI number 1669530713 Active

Practice location

612 Brighton Ave
Portland, ME 04102-2359

Fax (207) 874-6460

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2204 (ME)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1669530713

George David Gordon, DMD's National Provider Identifier is 1669530713, issued on Dec 4, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.