# PROGRESSIVE DENTAL CARE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326186743
- **Authorized official:** DR. TERRY M GORDON DDS (VICE PRESIDENT)
- **Authorized official phone:** (717) 637-0202

## Contact information

- **Practice address:** 250 FAME AVE, SUITE 206, HANOVER, PA 17331-1587
- **Practice address phone:** (717) 637-0202
- **Practice address fax:** (717) 637-5855
- **Mailing address:** PO BOX 471, HANOVER, PA 17331-0471
- **Mailing address phone:** (717) 637-0202
- **Mailing address fax:** (717) 637-5855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24985 | PA | Yes |
| 1223G0001X | General Practice Dentistry | 36615 | PA | — |
| 1223P0221X | Pediatric Dentistry | 28116 | PA | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 22314 | PA | — |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 02/04/2011
