Gordon, Eric Lawrence
Gordon, Eric Lawrence is an individual health care provider with primary practice located at 7441 W Ridgewood Dr Suite 275, Parma OH 44129. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Gordon, Eric Lawrence can be contacted via phone (440) 842-0909.Contact Information
Primary practice address
7441 W Ridgewood Dr Suite 275
Parma OH 44129
Phone: (440) 842-0909
Fax: (440) 842-0910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 30014538 | Ohio |
Profile Details
| NPI number | 1164636528 |
|---|---|
| LBN Legal business name | Gordon, Eric Lawrence |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164636528 | NPPES |
| Ohio | MEDICAID | 0408786 |
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