Gordon, Susan Lee
Gordon, Susan Lee is an individual health care provider with primary practice located at 10000 Bay Pines Blvd. , Saint Petersburg FL 33744. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gordon, Susan Lee can be contacted via phone (727) 398-6661.Contact Information
Primary practice address
10000 Bay Pines Blvd.
Saint Petersburg FL 33744
Phone: (727) 398-6661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN10330 | Florida |
| Dental Providers / General Practice | 1223G0001X | 28188 | California |
Profile Details
| NPI number | 1770696148 |
|---|---|
| LBN Legal business name | Gordon, Susan Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 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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