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Dr. Leo Dan Gordon, DDS
General Practice Dentistry in Weimar, Texas
NPI 1073593497

Leo Dan Gordon is a General Practice Dentistry based in Weimar, TX and is specialized in General Practice. Leo Dan Gordon practices in Weimar, TX and has the professional credentials of DDS. The NPI Number for Leo Dan Gordon is 1073593497 and holds a License No. TX15621 (Texas).

The current practice location address for Leo Dan Gordon is 503 E Main St, Weimar, TX and can be reached out via phone at 979-725-8562 and via fax at 979-725-6822.

Location: 503 E Main St, Weimar, TX, 78962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073593497
Provider Name
Leo Dan Gordon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
503 E Main St, Weimar, TX, 78962
Phone Number
979-725-8562
Fax Number
979-725-6822
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D15621 01 BCBS
837109 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
503 E Main St
City
Weimar
State
Texas
Zip
78962
Phone Number
979-725-8562
Fax Number
979-725-6822
person
Provider Business Mailing Address Details
Address
503 E Main St
City
Weimar
State
Texas
Zip
78962
Phone Number
979-725-8562
Fax Number
979-725-6822
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
TX15621 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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