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Mrs. Andrianette Nicole Gordon, DDS
Student in an Organized Health Care Education/Training Program in East Aurora, New York
NPI 1548795545

Andrianette Nicole Gordon is a Student in an Organized Health Care Education/Training Program based in East Aurora, NY. Andrianette Nicole Gordon practices in East Aurora, NY and has the professional credentials of DDS. The NPI Number for Andrianette Nicole Gordon is 1548795545 and holds a License No. 059741 (New York).

The current practice location address for Andrianette Nicole Gordon is 92 Grey St, East Aurora, NY and can be reached out via phone at 716-652-0190.

Location: 92 Grey St, East Aurora, NY, 14052-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548795545
Provider Name
Andrianette Nicole Gordon
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
92 Grey St, East Aurora, NY, 14052-2129
Phone Number
716-652-0190
Fax Number
Provider Enumeration Date
04/27/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
92 Grey St
City
East Aurora
State
New York
Zip
14052-2129
Phone Number
716-652-0190
Fax Number
person
Provider Business Mailing Address Details
Address
92 Grey St
City
East Aurora
State
New York
Zip
14052-2129
Phone Number
716-652-0190
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
059741 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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