Gordon, George David

Gordon, George David is an individual health care provider with primary practice located at 612 Brighton Ave , Portland ME 04102-2359. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gordon, George David can be contacted via phone (207) 772-7459.

Contact Information

Primary practice address
612 Brighton Ave Portland ME 04102-2359
Phone: (207) 772-7459
Fax: (207) 874-6460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2204 Maine

Profile Details

NPI number 1669530713
LBN Legal business name Gordon, George David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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