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Dr. Mark Howard Gordon, DDS
General Practice Dentistry in Valley Stream, New York
NPI 1396734331

Mark Howard Gordon is a General Practice Dentistry based in Valley Stream, NY and is specialized in General Practice. Mark Howard Gordon practices in Valley Stream, NY and has the professional credentials of DDS. The NPI Number for Mark Howard Gordon is 1396734331 and holds a License No. 036092 (New York).

The current practice location address for Mark Howard Gordon is 15 Fletcher Ave, Valley Stream, NY and can be reached out via phone at 516-561-1577 and via fax at 516-561-1577.

Location: 15 Fletcher Ave, Valley Stream, NY, 11580-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396734331
Provider Name
Mark Howard Gordon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
15 Fletcher Ave, Valley Stream, NY, 11580-4000
Phone Number
516-561-1577
Fax Number
516-561-1577
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00717506 05 NY
institution
Provider Business Practice Location Address Details
Address
15 Fletcher Ave
City
Valley Stream
State
New York
Zip
11580-4000
Phone Number
516-561-1577
Fax Number
516-561-1577
person
Provider Business Mailing Address Details
Address
15 Fletcher Ave
City
Valley Stream
State
New York
Zip
11580-4000
Phone Number
516-561-1577
Fax Number
516-561-1577
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
036092 (New York)
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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