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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOE GORDON, D.D.S.

Active Sole Proprietor

DR. JOE GORDON, D.D.S. is a Pediatric Dentistry healthcare provider located in LAKE FOREST, Illinois. NPI 1124199468 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LAKE FOREST, IL

Registration Details

NPI Number
1124199468
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2006 (19.778420642663 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
514 N WESTERN AVE
LAKE FOREST, IL, 600451989
Browse IL providers · Browse ZIP 60045
Phone
8474821900
Fax
8474821909
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in LAKE FOREST, IL

Name Credential NPI
ANOKHI DALIA BOCK D.M.D , M.S.D. 1073730131
DHWANI M. JOSHI D.M.D. 1942740006
PRIYAL P MANGROLA DMD 1023539947
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.