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Dr. Jason Gordon, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in New York, New York
NPI 1033641493

Jason Gordon is a Oral and Maxillofacial Surgery (Dentist) based in Fort Lee, NY and is specialized in Oral and Maxillofacial Surgery. Jason Gordon practices in New York, NY and has the professional credentials of DDS,MD. The NPI Number for Jason Gordon is 1033641493 and holds a License No. 22DI02756800 (New York).

The current practice location address for Jason Gordon is 108 E 96Th St, New York, NY and can be reached out via phone at 914-419-1818.

Location: 108 E 96Th St, New York, NY, 07024-7064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033641493
Provider Name
Jason Gordon
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
108 E 96Th St, New York, NY, 07024-7064
Phone Number
914-419-1818
Fax Number
Provider Enumeration Date
04/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 E 96Th St
City
New York
State
New York
Zip
10128-6217
Phone Number
914-419-1818
Fax Number
person
Provider Business Mailing Address Details
Address
108 E 96Th St
City
New York
State
New York
Zip
10128-6217
Phone Number
914-419-1818
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
22DI02756800 (New Jersey)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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