Individual
MAX J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1175 PARK AVE, NEW YORK, NY 10128-1211
(929) 209-3936
Mailing address
302 LUHMANN DR, NEW MILFORD, NJ 07646-2327
(516) 587-0663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
061250
NY
122300000X
Dentist
22DI02795400
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
07549
NJ
Other
Enumeration date
04/01/2019
Last updated
08/28/2025
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