| Gordon Orthodontics, Inc. | |
|
1171 Main Street Hope Valley RI 02832 | |
| (401) 828-1171 | |
| (401) 828-4704 |
| Full Name | Gordon Orthodontics, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1171 Main Street, Hope Valley, Rhode Island |
| Authorized Official Name and Position | William Michael Gordon (ORTHODONTIST) |
| Authorized Official Contact | 4018281171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Orthodontics, Inc. 840 Tiogue Ave Coventry RI 02816-5914 Ph: (401) 828-1171 | Gordon Orthodontics, Inc. 1171 Main Street Hope Valley RI 02832 Ph: (401) 828-1171 |
| NPI Number | 1285966481 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 01/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285966481 | NPI | - | NPPES |
| 842039 | Other | RI | UNITED CONCORDIA |
| WG00555 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Arcadia Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Main St, Hope Valley, RI 02832 Phone: 401-539-1090 Fax: 401-539-7460 |