Alan C. Gordon, Dds

LBN: Alan C. Gordon, Dds
Alan C. Gordon, Dds is an health care organization with primary practice located at 4710 Auth Pl Ste 490 , Camp Springs MD 20746-4212. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty. Alan C. Gordon, Dds can be contacted via phone (301) 848-6502, or through Gordon, Alan via phone (301) 848-6502.

Contact Information

Primary practice address
4710 Auth Pl Ste 490 Camp Springs MD 20746-4212
Fax:
Website:
Authorized official contact:
Name: Gordon, Alan Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1790254001
LBN Legal business name Alan C. Gordon, Dds
DBA Doing business as
Authorized official Gordon, Alan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2018
Last updated Nov 15th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790254001 NPPES
Maryland MEDICAID 325520400

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