Gordon, John
Gordon, John is an sole proprietor health care provider with primary practice located at 111 Carleton Ave Suite 1, Islip Terrace NY 11752-2236. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gordon, John can be contacted via phone (631) 581-3500.Contact Information
Primary practice address
111 Carleton Ave Suite 1
Islip Terrace NY 11752-2236
Phone: (631) 581-3500
Fax: (631) 581-4723
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 044635 | New York |
Profile Details
NPI number | 1801999719 |
---|---|
LBN Legal business name | Gordon, John |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 6th, 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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