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

GORDON FORMICA & LOVE DDS PA

Active Organization

GORDON FORMICA & LOVE DDS PA is a Dentist organization located in BOWIE, Maryland. NPI 1356441612 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOWIE, MD

Registration Details

NPI Number
1356441612
Provider Type
Organization
NPI Issued
Sep 25, 2006 (19.875531514632 yrs)
Last Updated
Aug 22, 2020
Licenses
04017 (MD)
04497 (MD)
12848 (MD)
03909 (MD)

Practice Information

Address
3233 SUPERIOR LANE
B-25
BOWIE, MD, 20715
Browse MD providers · Browse ZIP 20715
Phone
3012623535
Fax
3014643478
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Organizations in BOWIE, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.