Gordon, Donald R

Gordon, Donald R is an sole proprietor health care provider with primary practice located at 3 Pine Tree Dr , Broomall PA 19008-2740. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Anesthesiology, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Gordon, Donald R can be contacted via phone (484) 485-7156.

Contact Information

Primary practice address
3 Pine Tree Dr Broomall PA 19008-2740
Phone: (484) 485-7156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS017817-L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DA017817A Pennsylvania
Dental Providers / Dentist 122300000X DN5723 Florida

Profile Details

NPI number 1730138371
LBN Legal business name Gordon, Donald R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Nov 20th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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