Active NPIOrganization

Marc E Gordon DMD, PC

Dentist, Periodontics in Eatontown, New Jersey

NPI Number1316964968
Practice location
1 Industrial Way W, Building C, Eatontown, NJ 07724-2255
Fax
—
Last updated
June 5, 2011

Marc E Gordon DMD, PC is a healthcare organization based in Eatontown, NJ. Marc E Gordon DMD, PC practices in Eatontown, NJ. The NPI Number for Marc E Gordon DMD, PC is 1316964968 and holds a License No. 15768 (NJ). The current practice location address for Marc E Gordon DMD, PC is 1 Industrial Way W, Building C, Eatontown, NJ 07724-2255 and can be reached out via phone at 732-389-3400.

Provider Profile Details

NPI Number
1316964968
Provider Name
Marc E Gordon DMD, PC
Provider Entity Type
Organization
Address
1 Industrial Way W, Building C, Eatontown, NJ 07724-2255
Phone Number
732-389-3400
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Marc E Gordon, DMD · President · 732-389-3400
Provider Enumeration Date
July 17, 2006
Last Update Date
June 5, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Industrial Way W
Building C
Eatontown, NJ 07724-2255
Zip
07724-2255
Phone Number
732-389-3400
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
Po Box 335
Atlantic Highlands, NJ 07716-0335
City
Atlantic Highlands
State
NJ
Zip
07716-0335
Phone Number
732-389-3400

License Information

License Number
15768
License State
NJ
Taxonomy
Dentist, Periodontics · 1223P0300X · 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 Marc E Gordon DMD, PC?

The NPI number of Marc E Gordon DMD, PC is 1316964968. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Marc E Gordon DMD, PC?

Marc E Gordon DMD, PC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 15768.

Where does Marc E Gordon DMD, PC practice?

The practice location is 1 Industrial Way W, Building C, Eatontown, NJ 07724-2255. The office can be reached at 732-389-3400 (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 1316964968 directly on the NPPES registry website.

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