# DR DONALD R GORDON & ASSOCIATES

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

## Provider details

- **NPI number:** 1700905478
- **Authorized official:** DR. DONALD R GORDON D.D.S. (PRESIDENT)
- **Authorized official phone:** (484) 485-7156

## Contact information

- **Practice address:** 3 PINE TREE DR, BROOMALL, PA 19008-2740
- **Practice address phone:** (484) 485-7156
- **Mailing address:** 3 PINE TREE DR, BROOMALL, PA 19008-2740
- **Mailing address phone:** (484) 485-7156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS017817L | PA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 11/20/2009