# GORDON & GORDON, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gordon Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255962130
- **Authorized official:** DR. DANIELLE D GORDON DMD (VICE PRESIDENT)
- **Authorized official phone:** (828) 434-3333

## Contact information

- **Practice address:** 450 NEW MARKET BLVD STE 4, BOONE, NC 28607-5501
- **Practice address phone:** (828) 386-1388
- **Practice address fax:** (828) 386-1446
- **Mailing address:** 450 NEW MARKET BLVD STE 4, BOONE, NC 28607-5501
- **Mailing address phone:** (828) 386-1388
- **Mailing address fax:** (828) 386-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 01/30/2020