Charles G. Gordon, D.D.S.

General Practice Dentistry · Pueblo, CO

Individual Active NPI

NPI number 1831164722

Practice location

1026 Eagleridge Blvd
Pueblo, CO 81008-2130
Phone
(719) 372-0808

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NPI record

NPI
1831164722
Entity type
Individual (Type 1)
Enumeration date
February 22, 2006
Last updated
January 12, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7308 CO

About Dr. Gordon

Charles 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 1026 Eagleridge Blvd, Pueblo, CO 81008-2130. The NPI number 1831164722 was assigned on February 22, 2006 and the record was last updated on January 12, 2011.

Dr. Gordon lists a license in the registry: #7308 (CO) 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 Charles G. Gordon, D.D.S.?

The NPI number is 1831164722.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (719) 372-0808.

Where is Dr. Gordon located?

1026 Eagleridge Blvd, Pueblo, CO 81008-2130.

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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