Dr Stephanie Gordon, DDS is a
Dentist based in Capon Bridge, West Virginia. Dr Stephanie Gordon is licensed to practice in West Virginia (license number 4498) and her current practice location is
2854 Northwestern Pike, Capon Bridge, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 856-3200.
NPI number for Dr Stephanie Gordon is 1386121366 and her current mailing address is 1385 Sanders Ln, Oakland, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386121366.
Healthcare Provider's Profile
Full Name | Dr Stephanie Gordon |
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Gender | Female |
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Speciality | Dentist |
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Location | 2854 Northwestern Pike, Capon Bridge, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386121366
- Provider Enumeration Date: 07/23/2018
- Last Update Date: 01/21/2022
Medical Identifiers
Medical identifiers for Dr Stephanie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386121366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4498 (West Virginia) | Primary |
1223G0001X | Dentist - General Practice | 16578 (Maryland) | Secondary |
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 Stephanie 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 Stephanie Gordon, DDS 1385 Sanders Ln, Oakland, MD 21550-7435 Ph: () - | Dr Stephanie Gordon, DDS 2854 Northwestern Pike, Capon Bridge, WV 26711-9052 Ph: (304) 856-3200 |
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