Dr Robert L Gordon, DDS is a
Dentist based in East Granby, Connecticut. Dr Robert L Gordon is licensed to practice in Connecticut (license number CT 4514) and his current practice location is
11 S Main St, East Granby, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 653-2636.
NPI number for Dr Robert L Gordon is 1275630402 and his current mailing address is 11 S Main St, Po Box 593, East Granby, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275630402.
Healthcare Provider's Profile
| Full Name | Dr Robert L Gordon |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 11 S Main St, East Granby, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275630402
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert L Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275630402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | CT 4514 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert L Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert L Gordon, DDS
11 S Main St, Po Box 593,
East Granby, CT 06026
Ph: (860) 653-2636 | Dr Robert L Gordon, DDS
11 S Main St,
East Granby, CT 06026
Ph: (860) 653-2636 |
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