National Provider Identifier
Andrianette Nicole Gordon, D.D.S.
Andrianette Nicole Gordon, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in East Aurora, NY and a listed phone number of (716) 652-0190.
Profile Overview
- NPI
- 1548795545
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 27, 2017
- Last Updated
- July 31, 2024
Practice Location
- 92 Grey St
- East Aurora, NY 14052-2129
Phone: (716) 652-0190
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1548795545
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Andrianette
- Middle Name
- Nicole
- Name Prefix
- Mrs.
- Credential
- D.D.S.
- Provider Other Last Name
- Skrypek
- Provider Other First Name
- Andrianette
- Provider Other Middle Name
- Nicole
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- D.D.S.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 92 Grey St
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-2129
- Mailing Country
- US
- Mailing Phone
- (716) 652-0190
- Practice Street Address
- 92 Grey St
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-2129
- Practice Country
- US
- Practice Phone
- (716) 652-0190
- Enumeration Date
- April 27, 2017
- Last Updated
- July 31, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 31, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)