Individual
DR. JOSHUA COLEMAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7000 FOREST AVE STE 800, RICHMOND, VA 23230-1737
(757) 773-1996
Mailing address
225 BRIDGEVIEW CIR, CHESAPEAKE, VA 23322-4013
(757) 773-1996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401418227
VA
1223G0001X
General Practice Dentistry
Primary
0401418227
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2022
Last updated
01/15/2024
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