Scott Michael Gordon, D.D.S.

Dentist · Scranton, PA

Individual Active NPI

NPI number 1497024475

Practice location

1238 N Main Ave
Scranton, PA 18508-2130
Phone
(570) 346-5015
Fax
(570) 346-5015

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NPI record

NPI
1497024475
Entity type
Individual (Type 1)
Enumeration date
December 21, 2011
Last updated
December 21, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DSO23084L PA

About Dr. Gordon

Scott Michael Gordon, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1238 N Main Ave, Scranton, PA 18508-2130. The NPI number 1497024475 was assigned on December 21, 2011 and the record was last updated on December 21, 2011.

Dr. Gordon lists a license in the registry: #DSO23084L (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Michael Gordon, D.D.S.?

The NPI number is 1497024475.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (570) 346-5015.

Where is Dr. Gordon located?

1238 N Main Ave, Scranton, PA 18508-2130.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 122300000X – Dentist.

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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