Individual
ADAM GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
400 SPILLERS WAY, WARNER ROBINS, GA 31088-0512
(478) 953-2700
(478) 953-2675
Mailing address
400 SPILLERS WAY, WARNER ROBINS, GA 31088-0512
(478) 953-2700
(478) 953-2675
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014959
GA
Other
Enumeration date
01/22/2013
Last updated
07/18/2016
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