Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER MICHAEL GORDON
Active Sole ProprietorCHRISTOPHER MICHAEL GORDON is a Pediatric Dentistry healthcare provider located in COVENTRY, Rhode Island. NPI 1497383319 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · COVENTRY, RI
Registration Details
- NPI Number
- 1497383319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2020 (6.3940981451588 yrs)
- Last Updated
- Jun 20, 2022
- Licenses
-
DEN03596 (RI)DN1859344 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
840 TIOGUE AVECOVENTRY, RI, 028162900Browse RI providers · Browse ZIP 02816
- Phone
- 4018281171
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
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.