National Provider Identifier
Colleen M Gordon, D.D.S.
Colleen M Gordon, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 328-5029.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1508943200
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- November 01, 2006
- Last Updated
- July 08, 2007
Practice Location
- 612 Thurston RD
- Rochester, NY 14619-2131
Phone: (585) 328-5029
Specialties
- General Practice Dentistry (1223G0001X)
Browse Similar Providers
See more General Practice providers in Rochester, NY.
Full Record
- NPI
- 1508943200
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Colleen
- Middle Name
- M
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 612 Thurston RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2131
- Mailing Country
- US
- Mailing Phone
- (585) 328-5029
- Mailing Fax
- (585) 328-5592
- Practice Street Address
- 612 Thurston RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2131
- Practice Country
- US
- Practice Phone
- (585) 328-5029
- Practice Fax
- (585) 328-5592
- Enumeration Date
- November 01, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 00698980 (NY)