Gordon Orthodontics, Inc.

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Hope Valley, RI

NPI 1285966481 · NPPES record last updated Jan 31, 2011

Key facts

NPI
1285966481
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Legal business name
GORDON ORTHODONTICS, INC.
Practice address
1171 Main Street
Hope Valley, RI 02832
Phone
(401) 828-1171
Fax
(401) 828-4704
NPI assigned
Feb 12, 2010
Organization subpart
No

Authorized official

Name
Dr. William Michael Gordon, DMD
Title
Orthodontist
Phone
(401) 828-1171

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223X0400X Yes

Addresses

Primary practice location

1171 Main Street
Hope Valley, RI 02832

Mailing address

840 Tiogue Ave
Coventry, RI 02816-5914
Phone (401) 828-1171

Other identifiers

IdentifierTypeStateIssuer
842039OtherRIUNITED CONCORDIA
WG00555MedicaidRI

Other providers in Hope Valley, RI

All providers in Hope Valley, RI · Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island

Sources for this page

Verify at the official NPI Registry.