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Brock Van Gordon, DMD
General Practice Dentistry in Wilsonville, Oregon
NPI 1962554584

Brock Van Gordon is a General Practice Dentistry based in Wilsonville, OR and is specialized in General Practice. Brock Van Gordon practices in Wilsonville, OR and has the professional credentials of DMD. The NPI Number for Brock Van Gordon is 1962554584 and holds a License No. D7947 (Oregon).

The current practice location address for Brock Van Gordon is 30045 Sw Parkway Ave, Wilsonville, OR and can be reached out via phone at 503-682-2455 and via fax at 503-570-8852.

Location: 30045 Sw Parkway Ave, Wilsonville, OR, 97070-3680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962554584
Provider Name
Brock Van Gordon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
30045 Sw Parkway Ave, Wilsonville, OR, 97070-3680
Phone Number
503-682-2455
Fax Number
503-570-8852
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
30045 Sw Parkway Ave
City
Wilsonville
State
Oregon
Zip
97070-9735
Phone Number
503-682-2455
Fax Number
503-570-8852
person
Provider Business Mailing Address Details
Address
30045 Sw Parkway Ave
City
Wilsonville
State
Oregon
Zip
97070-9735
Phone Number
503-682-2455
Fax Number
503-570-8852
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D7947 (Oregon)
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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