Gordon, Scott Michael

Gordon, Scott Michael is an sole proprietor health care provider with primary practice located at 1238 N Main Ave , Scranton PA 18508-2130. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gordon, Scott Michael can be contacted via phone (570) 346-5015.

Contact Information

Primary practice address
1238 N Main Ave Scranton PA 18508-2130
Fax: (570) 346-5015
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DSO23084L Pennsylvania

Profile Details

NPI number 1497024475
LBN Legal business name Gordon, Scott Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2011
Last updated Dec 21st, 2011 - about 14 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.

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