| Ross Gordon DDS MS LLC | |
|
627 Office Pkwy Ste B Westerville OH 43082-7812 | |
| (714) 905-0111 | |
| Not Available |
| Full Name | Ross Gordon DDS MS LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 627 Office Pkwy Ste B, Westerville, Ohio |
| Authorized Official Name and Position | Ross Gordon (OWNER) |
| Authorized Official Contact | 6149050111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Gordon DDS MS LLC 627 Office Pkwy Ste B Westerville OH 43082-7812 | Ross Gordon DDS MS LLC 627 Office Pkwy Ste B Westerville OH 43082-7812 Ph: (714) 905-0111 |
| NPI Number | 1588365860 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588365860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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