Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB MARTIN GORDON, D.D.S.
Active Sole ProprietorDR. JACOB MARTIN GORDON, D.D.S. is a Pediatric Dentistry healthcare provider located in WOODMERE, New York. NPI 1508885492 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WOODMERE, NY
Registration Details
- NPI Number
- 1508885492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.085183392142 yrs)
- Last Updated
- Jul 8, 2007
- License
-
028796 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1021 CEDAR LNWOODMERE, NY, 115981211Browse NY providers · Browse ZIP 11598
- Phone
- 5165694653
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in WOODMERE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. HENRY BERNSTEIN | DMD | 1740404086 |
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.