Individual provider · Type 1 NPI

Susan Lee Gordon, DDS

General Practice Dentistry · St. Petersburg, FL

NPI number 1770696148 Active

Practice location

10000 Bay Pines Blvd.
St. Petersburg, FL 33744

Mailing address

1059 Sable Ct NE
St. Petersburg, FL 33702-2783

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN10330 (FL)
General Practice Dentistry 1223G0001X28188 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1770696148

Susan Lee Gordon, DDS's National Provider Identifier is 1770696148, issued on Aug 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.