Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT L GORDON, D.D.S.
Active Sole ProprietorDR. ROBERT L GORDON, D.D.S. is a Dentist healthcare provider located in EAST GRANBY, Connecticut. NPI 1275630402 is currently active in the NPPES registry. Verify at CMS.
Dentist · EAST GRANBY, CT
Registration Details
- NPI Number
- 1275630402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.907571223959 yrs)
- Last Updated
- Jul 8, 2007
- License
-
CT 4514 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 S MAIN STEAST GRANBY, CT, 06026Browse CT providers · Browse ZIP 06026
- Phone
- 8606532636
- Fax
- 8606531960
- Primary Specialty
-
Dentist
122300000X
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.