Gordon, Lauren

Gordon, Lauren is an individual health care provider with primary practice located at 5215 Windward Pkwy Ste D , Alpharetta GA 30004-3887. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Gordon, Lauren can be contacted via phone (770) 222-2322.

Contact Information

Primary practice address
5215 Windward Pkwy Ste D Alpharetta GA 30004-3887
Fax: (404) 496-7010
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN015835 Georgia

Profile Details

NPI number 1205498086
LBN Legal business name Gordon, Lauren
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Jul 2nd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205498086 NPPES
Georgia Other DN015835 STATE LICENSE

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