Organization
ANITA S. GORDON
Active
Organization
ANITA S. GORDON
Active
Other names
Gordon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FELECIA BRYANT (OFC MANAGER)
(404) 486-7661
Entity
Organization
Contact information
Practice address
2814 BUFORD HWY NE, ATLANTA, GA 30329-2103
(404) 486-7661
Mailing address
2814 BUFORD HWY NE, ATLANTA, GA 30329-2103
(404) 486-7661
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
DN009248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000225299A
—
GA
Enumeration date
07/03/2013
Last updated
07/03/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up