Peter G. Gordon, D.D.S.

General Practice Dentistry · Beachwood, OH

Individual Active NPI

NPI number 1114070349

Practice location

23300 Chagrin Blvd
G-10
Beachwood, OH 44122-5557
Phone
(216) 464-1180
Fax
(216) 464-3707

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NPI record

NPI
1114070349
Entity type
Individual (Type 1)
Enumeration date
January 19, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12679 OH

About Dr. Gordon

Peter G. Gordon, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 23300 Chagrin Blvd, G-10, Beachwood, OH 44122-5557. The NPI number 1114070349 was assigned on January 19, 2007 and the record was last updated on July 8, 2007.

Dr. Gordon lists a license in the registry: #12679 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter G. Gordon, D.D.S.?

The NPI number is 1114070349.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (216) 464-1180.

Where is Dr. Gordon located?

23300 Chagrin Blvd, G-10, Beachwood, OH 44122-5557.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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