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Dr Donald R Gordon & Associates
Oral and Maxillofacial Surgery (Dentist) in Broomall, Pennsylvania
NPI 1700905478

Dr Donald R Gordon & Associates is a Oral and Maxillofacial Surgery (Dentist) based in Broomall, PA and is specialized in Oral and Maxillofacial Surgery. Dr Donald R Gordon & Associates practices in Broomall, PA. The NPI Number for Dr Donald R Gordon & Associates is 1700905478 and holds a License No. DS017817L (Pennsylvania).

The current practice location address for Dr Donald R Gordon & Associates is 3 Pine Tree Dr, Broomall, PA and can be reached out via phone at 484-485-7156.

Location: 3 Pine Tree Dr, Broomall, PA, 19008-2740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700905478
Provider Name
Dr Donald R Gordon & Associates
Credential
Provider Entity Type
Organization
Address
3 Pine Tree Dr, Broomall, PA, 19008-2740
Phone Number
484-485-7156
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2633 01 PA AETNA
0032775000 01 PA INDEPENDENCE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
3 Pine Tree Dr
City
Broomall
State
Pennsylvania
Zip
19008-2740
Phone Number
484-485-7156
Fax Number
person
Provider Business Mailing Address Details
Address
3 Pine Tree Dr
City
Broomall
State
Pennsylvania
Zip
19008-2740
Phone Number
484-485-7156
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS017817L (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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