Active NPIIndividual provider

Dr. Paul E Gordon, DMD, MD

Oral & Maxillofacial Surgery in Burlington, Massachusetts

NPI Number1164448171
Practice location
77 S Bedford St Ste 100, Burlington, MA 01803-5154
Fax
781-272-0806
Last updated
May 9, 2019

Paul E Gordon is an Oral & Maxillofacial Surgery based in Burlington, MA. Paul E Gordon practices in Burlington, MA and has the professional credentials of DMD, MD. The NPI Number for Paul E Gordon is 1164448171 and holds a License No. 8424 (MA). The current practice location address for Paul E Gordon is 77 S Bedford St Ste 100, Burlington, MA 01803-5154 and can be reached out via phone at 781-272-0800 and via fax at 781-272-0806.

Provider Profile Details

NPI Number
1164448171
Provider Name
Paul E Gordon
Credential
DMD, MD
Provider Entity Type
Individual
Gender
Male
Address
77 S Bedford St Ste 100, Burlington, MA 01803-5154
Phone Number
781-272-0800
Fax Number
781-272-0806
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2006
Last Update Date
May 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 S Bedford St Ste 100
Burlington, MA 01803-5154
Zip
01803-5154
Phone Number
781-272-0800
Fax Number
781-272-0806
Burlington, MA 01803Get directions →

Provider Business Mailing Address Details

Address
77 S Bedford St Ste 100
Burlington, MA 01803-5154
City
Burlington
State
MA
Zip
01803-5154
Phone Number
781-272-0800
Fax Number
781-272-0806

License Information

License Number (1)
8424
License State (1)
MA
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
246483
License State (2)
MA
Taxonomy (2)
Oral & Maxillofacial Surgery · 204E00000X · Primary

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 Dr. Paul E Gordon, DMD, MD?

The NPI number of Dr. Paul E Gordon, DMD, MD is 1164448171. It was assigned on July 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul E Gordon, DMD, MD?

Dr. Paul E Gordon, DMD, MD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in MA under license number 8424.

Where does Dr. Paul E Gordon, DMD, MD practice?

The practice location is 77 S Bedford St Ste 100, Burlington, MA 01803-5154. The office can be reached at 781-272-0800 (phone) or 781-272-0806 (fax).

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 1164448171 directly on the NPPES registry website.

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