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Dr. Audrey E Gordon, DDS
Pediatric Dentist in Orangeburg, South Carolina
NPI 1760542302

Audrey E Gordon is a Pediatric Dentist based in Orangeburg, SC and is specialized in Pediatric Dentistry. Audrey E Gordon practices in Orangeburg, SC and has the professional credentials of DDS. The NPI Number for Audrey E Gordon is 1760542302 and holds a License No. 3397 (South Carolina).

The current practice location address for Audrey E Gordon is 157 Centre St, Orangeburg, SC and can be reached out via phone at 803-536-0405 and via fax at 803-536-3533.

Location: 157 Centre St, Orangeburg, SC, 29115-6043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760542302
Provider Name
Audrey E Gordon
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
157 Centre St, Orangeburg, SC, 29115-6043
Phone Number
803-536-0405
Fax Number
803-536-3533
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
157 Centre St
City
Orangeburg
State
South Carolina
Zip
29115-6043
Phone Number
803-536-0405
Fax Number
803-536-3533
person
Provider Business Mailing Address Details
Address
157 Centre St
City
Orangeburg
State
South Carolina
Zip
29115-6043
Phone Number
803-536-0405
Fax Number
803-536-3533
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3397 (South Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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