Mark Howard Gordon, DDS

General Practice Dentistry · Valley Stream, NY

Individual Active NPI

NPI number 1396734331

Practice location

15 Fletcher Ave
Valley Stream, NY 11580-4000
Phone
(516) 561-1577
Fax
(516) 561-1577

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NPI record

NPI
1396734331
Entity type
Individual (Type 1)
Enumeration date
October 20, 2005
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 036092 NY

About Dr. Gordon

Mark Howard Gordon, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 15 Fletcher Ave, Valley Stream, NY 11580-4000. The NPI number 1396734331 was assigned on October 20, 2005 and the record was last updated on July 8, 2007.

Dr. Gordon lists a license in the registry: #036092 (NY) 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 Mark Howard Gordon, DDS?

The NPI number is 1396734331.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (516) 561-1577.

Where is Dr. Gordon located?

15 Fletcher Ave, Valley Stream, NY 11580-4000.

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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