Individual provider · Type 1 NPI

Gordon Ladd Douglass, DDS

Periodontics · Sacramento, CA

NPI number 1801010699 Active

Practice location

3960 El Camino Ave, Suite 1
Sacramento, CA 95821-6534

Call (916) 483-4964 Map

Fax (916) 483-6380

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X21792 (CA)

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 1801010699

Gordon Ladd Douglass, DDS's National Provider Identifier is 1801010699, issued on Apr 12, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.