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.

NPI 1508943200Rochester, NYGeneral Practice Dentistry

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)

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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
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
00698980 (NY)