Gordon, Brandon D

Gordon, Brandon D is an sole proprietor health care provider with primary practice located at 7186 Sage View Cr , Idaho Falls ID 83406. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gordon, Brandon D can be contacted via phone (441) 687-1481.

Contact Information

Primary practice address
7186 Sage View Cr Idaho Falls ID 83406
Phone: (441) 687-1481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6655977-9922 Utah

Profile Details

NPI number 1992968804
LBN Legal business name Gordon, Brandon D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers