Samuel Jay Gordon, D.D.S.

General Practice Dentistry · Iselin, NJ

Individual Active NPI

NPI number 1194838854

Practice location

37 Gill Ln
Iselin, NJ 08830-2800
Phone
(732) 283-0500
Fax
(732) 283-3858

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NPI record

NPI
1194838854
Entity type
Individual (Type 1)
Enumeration date
August 16, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DI 11261 NJ

Mailing address

6 Morse Way N
Holmdel, NJ 07733-1345
Phone
(732) 957-9715
Fax
(732) 283-3859

About Dr. Gordon

Samuel Jay 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 37 Gill Ln, Iselin, NJ 08830-2800. The NPI number 1194838854 was assigned on August 16, 2006 and the record was last updated on July 8, 2007.

Dr. Gordon lists a license in the registry: #DI 11261 (NJ) 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 Samuel Jay Gordon, D.D.S.?

The NPI number is 1194838854.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (732) 283-0500.

Where is Dr. Gordon located?

37 Gill Ln, Iselin, NJ 08830-2800.

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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