Individual
DR. SCOTT MICHAEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1238 N MAIN AVE, SCRANTON, PA 18508-2130
(570) 346-5015
(570) 346-5015
Mailing address
1238 N MAIN AVE, SCRANTON, PA 18508-2130
(570) 346-5015
(570) 346-5015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO23084L
PA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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