Individual provider · Type 1 NPI
Donald R. Gordon, DDS
Oral and Maxillofacial Surgery (Dentist) · Broomall, PA
NPI number
1730138371
Active
Practice location
3 Pine Tree Dr
Broomall, PA 19008-2740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DS017817-L (PA) |
| Anesthesiology Physician | 207L00000X | DA017817A (PA) |
| Dentist | 122300000X | DN5723 (FL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1730138371
Donald R. Gordon, DDS's National Provider Identifier is 1730138371, issued on May 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Broomall, PA. The record was last updated on Nov 20, 2009.