Organization
ALAN C. GORDON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN GORDON DDS (GENERAL DENTIST)
(301) 848-6502
Entity
Organization
Contact information
Practice address
4710 AUTH PL STE 490, CAMP SPRINGS, MD 20746-4212
(301) 848-6502
Mailing address
4710 AUTH PL STE 490, CAMP SPRINGS, MD 20746-4212
(301) 848-6502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325520400
—
MD
Enumeration date
11/15/2018
Last updated
11/15/2018
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