Dr. William H. Gordon, D.D.S., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3789 Issued in NC

Legal business name

DR. WILLIAM H. GORDON, D.D.S., P.A.

Practice address

1904 Front St
Ste 530
Durham, NC 27705-2583

Phone

(919) 383-6661

Fax

(919) 384-1991

NPI assigned

May 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Leigh K. Blanton

Title

Insurance Specialist

Phone

(919) 383-6661

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902012792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 FRONT ST",
            "address_2": "STE 530",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052583",
            "telephone_number": "919-383-6661",
            "fax_number": "919-384-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FRONT ST",
            "address_2": "STE 530",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052583",
            "telephone_number": "919-383-6661",
            "fax_number": "919-384-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIAM H. GORDON, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "919-383-6661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.