Active NPIIndividual provider

Dr. Cecille Gordon, DMD

Dentist, General Practice in Mt Vernon, New York

NPI Number1679791453
Practice location
128 Stevens Ave, Mt Vernon, NY 10550-2604
Fax
914-668-2657
Last updated
July 8, 2007

Cecille Gordon is a Dentist, General Practice based in Mt Vernon, NY. Cecille Gordon practices in Mt Vernon, NY and has the professional credentials of DMD. The NPI Number for Cecille Gordon is 1679791453 and holds a License No. 045979 (NY). The current practice location address for Cecille Gordon is 128 Stevens Ave, Mt Vernon, NY 10550-2604 and can be reached out via phone at 914-668-2772 and via fax at 914-668-2657.

Provider Profile Details

NPI Number
1679791453
Provider Name
Cecille Gordon
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
128 Stevens Ave, Mt Vernon, NY 10550-2604
Phone Number
914-668-2772
Fax Number
914-668-2657
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
128 Stevens Ave
Mt Vernon, NY 10550-2604
Zip
10550-2604
Phone Number
914-668-2772
Fax Number
914-668-2657
Mt Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
80 Lawn Ave
Unit #12
Stamford, CT 06902-3123
City
Stamford
State
CT
Zip
06902-3123

License Information

License Number (1)
045979
License State (1)
NY
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
009501
License State (2)
CT
Taxonomy (2)
Dentist, General Practice · 1223G0001X

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. Cecille Gordon, DMD?

The NPI number of Dr. Cecille Gordon, DMD is 1679791453. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Cecille Gordon, DMD?

Dr. Cecille Gordon, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 045979.

Where does Dr. Cecille Gordon, DMD practice?

The practice location is 128 Stevens Ave, Mt Vernon, NY 10550-2604. The office can be reached at 914-668-2772 (phone) or 914-668-2657 (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 1679791453 directly on the NPPES registry website.

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