Gordon, John

Gordon, John is an sole proprietor health care provider with primary practice located at 111 Carleton Ave Suite 1, Islip Terrace NY 11752-2236. He recently has 3 registered licenses in different health care specialties including Suppliers / Customized Equipment, Dental Providers / Dentist, Suppliers / Durable Medical Equipment & Medical Supplies. Dental Providers / Dentist is his primary health care specialty. Gordon, John can be contacted via phone (631) 581-3500.

Contact Information

Primary practice address
111 Carleton Ave Suite 1 Islip Terrace NY 11752-2236
Phone: (631) 581-3500
Fax: (631) 581-4723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 044635 New York
Dental Providers / Dentist 122300000X 044635 New York
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 044635 New York

Profile Details

NPI number 1801999719
LBN Legal business name Gordon, John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Mar 4th, 2026 - about 8 months 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.

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