| Alan C. Gordon, DDS | |
|
4710 Auth Pl Ste 490 Camp Springs MD 20746-4212 | |
| (301) 848-6502 | |
| Not Available |
| Full Name | Alan C. Gordon, DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4710 Auth Pl Ste 490, Camp Springs, Maryland |
| Authorized Official Name and Position | Alan Gordon (GENERAL DENTIST) |
| Authorized Official Contact | 3018486502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan C. Gordon, DDS 4710 Auth Pl Ste 490 Camp Springs MD 20746-4212 Ph: (301) 848-6502 | Alan C. Gordon, DDS 4710 Auth Pl Ste 490 Camp Springs MD 20746-4212 Ph: (301) 848-6502 |
| NPI Number | 1790254001 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790254001 | NPI | - | NPPES |
| 325520400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Secondary |
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