DR. DONALD R GORDON (NPI# 1730138371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730138371 |
| Entity Type | Individual |
| Full Name | DR. DONALD R GORDON |
| Credential | DDS |
| Practice Address |
3 Pine Tree Dr Broomall PA 19008-2740 |
| Practice Telephone | 4844857156 |
| Mailing Telephone | 4844857156 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN5723 | FL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS017817-L | PA | Dental Providers |
| N | 207L00000X | Anesthesiology | DA017817A | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427290550 | Donald Laurence Gordon | Internal Medicine | 1800 Barberry Rd, Northbrook, IL 60062-5803 | 2009-04-06 |
| 1922214899 | Donald Joseph Gordon | Emergency Medicine | 4201 Medical Dr, San Antonio, TX 78229-5656 | 2007-05-15 |
| 1295741288 | Donald Ray Gordon | Optometrist | 125 W Main St, Clinton, IL 61727-1611 | 2006-07-31 |
| 1538725825 | Donald Gordon | Licensed Practical Nurse | 801 E 241st St, Bronx, NY 10470-1303 | 2019-05-13 |
| 1912004979 | Donald E. Gordon | Physician Assistant | 99 E River Dr, 5th Floor, East Hartford, CT 06108-3288 | 2006-09-20 |
| 1821016122 | Donald J. Gordon | Nuclear Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-17 |
| 1043280662 | Donald Wayne Gordon | Pharmacist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2006-01-25 |
| 1285623967 | Donald G Gordon | Internal Medicine | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2005-10-17 |
| 1104810787 | Donald Gordon | Specialist | 153 South Main Street, Newtown, CT 06470 | 2005-09-09 |
| Street Address |
3 PINE TREE DR |
| City | BROOMALL |
| State | PA |
| Zip Code | 19008-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700905478 | Dr Donald R Gordon & Associates | Dentist | 3 Pine Tree Dr, Broomall, PA 19008-2740 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098964 | Ashley Szewczuk | Occupational Therapy Assistant | 50 Malin Rd., Broomall, PA 19008 | 2019-02-06 |
| 1134647316 | Bernadette Jacobs | Registered Nurse | Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 | 2017-09-07 |
| 1447780549 | Laura Ann Jamison | Physical Therapy Assistant | 50 North Malin Road, Broomall, PA 19008 | 2017-06-13 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1558893024 | Marc Belitsky D.c., .pc. | Clinic/Center | 2633 West Chester Pike, Broomall, PA 19008 | 2017-04-03 |
| 1053773390 | Helen Richman | Pharmacist | 567 Sproul Road, Broomall, PA 19008 | 2016-03-25 |
| 1487028007 | Jenelle Thomas | Social Worker | 85 N. Malin Road, Broomall, PA 19008 | 2015-11-19 |
| 1649654740 | Akeesha M Washington | Counselor | 600 Abbott Drive, Broomall, PA 19008 | 2015-07-17 |
| 1821411976 | Ketrin Kapllani | Behavioral Analyst | 475 Lawrence, Philadelphia, PA 19008 | 2014-01-27 |
| 1710325741 | Joel Christopher Fusunyan-lee | Registered Nurse | 219 Sussex Blvd, Broomall, PA 19008 | 2013-06-12 |
| Find all providers in zip 19008 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700905478 | Dr Donald R Gordon & Associates | Dentist | 3 Pine Tree Dr, Broomall, PA 19008-2740 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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| 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.