GEORGE DAVID GORDON


Address: 612 Brighton Ave, Portland, ME 04102-2359
Phone: 2077727459

GEORGE DAVID GORDON (NPI# 1669530713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669530713
Entity Type Individual
Full Name GEORGE DAVID GORDON
Credential DMD
Practice Address 612 Brighton Ave
Portland
ME 04102-2359
Practice Telephone 2077727459
Practice Fax Number 2078746460
Mailing Telephone 2077727459
Mailing Fax Number 2078746460
Enumeration Date 2006-12-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
2204 ME Dental Providers

Other Providers GEORGE GORDON

NPI Name Taxonomy Address Enumeration
1134188436 George R Gordon Anesthesiology 46 Mill Pond Cir, Milford, MA 01757-1287 2006-03-23
1225016249 George Richard Gordon Emergency Medicine 860 Copper Rd, Copper Mountain Clinic, Copper Mountain, CO 80443 2006-01-09
1942858329 George Gordon Prevention Professional 4895 Windward Passage Dr Ste 6, Boynton Beach, FL 33436-7741 2019-08-29

Office Location

Street Address 612 BRIGHTON AVE
City PORTLAND
State ME
Zip Code 04102-2359

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497722896 Jeffrey Bruce Finegold Dentist 612 Brighton Ave, Portland, ME 04102-2359 2006-03-03
1932629953 Jordan King Alexis Hicks Dentist 612 Brighton Ave, Portland, ME 04102-2359 2017-06-21
1013447234 Alex Kerbaugh Dentist 612 Brighton Ave, Portland, ME 04102-2359 2017-06-20
1932329943 Periodontal Associates Dentist 612 Brighton Ave, Portland, ME 04102-2359 2007-05-01
1114085255 Stephen Gannett Morse Dentist 612 Brighton Ave, Portland, ME 04102-2359 2006-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1730632266 Samar Shaikh Dentist 716 Stevens Ave # 204, Portland, ME 04103 2016-08-02
1730472986 Wilson D Lee Dentist 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 2011-05-20
1184954422 Kamran Haghighat Bds Ms PC Dentist 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 2010-01-08
1225292121 Harjit Singh Sehgal Dentist 2730 Sw Moodey Ave, Clsb-5n034, Portland, OR 97201 2008-07-10
1467516211 Chirgwin & Herriges, LLC Dentist 1130 Se 122nd Ave, Portland, OR 97233-1112 2006-12-19
1568534519 Trang N Pham Dentist 10356 Ne Wasco St, Portland, OR 97220 2006-11-14
1811086887 Winthrop B. Carter Dentist 611 Sw Campus Drive, Ohsu School of Dentistry, Sd 177, Portland, OR 97239 2006-10-11
1295828069 Southern Maine Periodontal Assoc Pa Dentist 276 Canco Rd, Portland, ME 04103 2006-10-02
1598702151 Angela Blizzard Dentist 7107 Sw Macadam Ave, Portland, OR 97219-3075 2006-06-01
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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