| Jeffrey S Gorman Dmd, Inc. | |
|
2569 West Shaw Avenue Fresno CA 93711-3312 | |
| (559) 449-1275 | |
| (559) 449-1282 |
| Full Name | Jeffrey S Gorman Dmd, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2569 West Shaw Avenue, Fresno, California |
| Authorized Official Name and Position | Jeffrey Stephen Gorman (OWNER, DENTIST) |
| Authorized Official Contact | 5594491275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S Gorman Dmd, Inc. 5646 N Palm Suite 104 Fresno CA 93704-1848 Ph: (559) 449-1275 | Jeffrey S Gorman Dmd, Inc. 2569 West Shaw Avenue Fresno CA 93711-3312 Ph: (559) 449-1275 |
| NPI Number | 1992946495 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992946495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46809 (California) | Primary |
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