| John T Gordon D.d.s., P.c. | |
|
111 Carleton Ave Ste 1 Islip Terrace NY 11752-2236 | |
| (631) 581-3500 | |
| Not Available |
| Full Name | John T Gordon D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111 Carleton Ave, Islip Terrace, New York |
| Authorized Official Name and Position | John Gordon (PRESIDENT) |
| Authorized Official Contact | 6315813500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Gordon D.d.s., P.c. 111 Carleton Ave Ste 1 Islip Terrace NY 11752-2236 Ph: () - | John T Gordon D.d.s., P.c. 111 Carleton Ave Ste 1 Islip Terrace NY 11752-2236 Ph: (631) 581-3500 |
| NPI Number | 1033657325 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033657325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 044635 (New York) | Primary |
Terrace Dental Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 Connetquot Ave, Suite 1, Islip Terrace, NY 11752 Phone: 631-277-3100 Fax: 631-277-3107 |