Active NPIIndividual provider

Gordon Averill, DMD

Dentist in Matthews, North Carolina

NPI Number1043695513
Practice location
2435 Plantation Center Dr Ste 100, Matthews, NC 28105-5148
Fax
—
Last updated
January 13, 2023

Gordon Averill is a Dentist based in Matthews, NC. Gordon Averill practices in Matthews, NC and has the professional credentials of DMD. The NPI Number for Gordon Averill is 1043695513 and holds a License No. dds101899 (CA). The current practice location address for Gordon Averill is 2435 Plantation Center Dr Ste 100, Matthews, NC 28105-5148 and can be reached out via phone at 704-847-7426.

Provider Profile Details

NPI Number
1043695513
Provider Name
Gordon Averill
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2435 Plantation Center Dr Ste 100, Matthews, NC 28105-5148
Phone Number
704-847-7426
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2015
Last Update Date
January 13, 2023
Certification Date
January 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2435 Plantation Center Dr Ste 100
Matthews, NC 28105-5148
Zip
28105-5148
Phone Number
704-847-7426
Matthews, NC 28105Get directions →

Provider Business Mailing Address Details

Address
2435 Plantation Center Dr Ste 100
Matthews, NC 28105-5148
City
Matthews
State
NC
Zip
28105-5148
Phone Number
704-847-7426

License Information

License Number (1)
dds101899
License State (1)
CA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
12810
License State (2)
NC
Taxonomy (2)
Dentist · 122300000X · Primary
License Number (3)
DN1856859
License State (3)
MA
Taxonomy (3)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gordon Averill, DMD?

The NPI number of Gordon Averill, DMD is 1043695513. It was assigned on July 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Gordon Averill, DMD?

Gordon Averill, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number dds101899.

Where does Gordon Averill, DMD practice?

The practice location is 2435 Plantation Center Dr Ste 100, Matthews, NC 28105-5148. The office can be reached at 704-847-7426 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043695513 directly on the NPPES registry website.

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