Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY M GORDON, D.M.D.,M.M.SC
Active Sole ProprietorDR. JEFFREY M GORDON, D.M.D.,M.M.SC is a Periodontology healthcare provider located in RIVER EDGE, New Jersey. NPI 1912042722 is currently active in the NPPES registry. Verify at CMS.
Periodontology · RIVER EDGE, NJ
Registration Details
- NPI Number
- 1912042722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2007 (19.517874007443 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DI112961 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 KINDERKAMACK RDSUITE 202RIVER EDGE, NJ, 076611939Browse NJ providers · Browse ZIP 07661
- Phone
- 2014878329
- Primary Specialty
-
Periodontology
1223P0300X
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.