DR. COLLEEN MOHAN GORDON (NPI# 1023449352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023449352 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN MOHAN GORDON |
| Credential | DMD, MS |
| Practice Address |
545 N Bethlehem Pike Ste 205 Ambler PA 19002-2557 |
| Mailing Address |
37 Isabelle Ct Marlton NJ 08053-5623 |
| Practice Telephone | 2673600777 |
| Mailing Telephone | 2673600777 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2020-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS042522 | PA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22DI02593900 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508943200 | Colleen M Gordon | Dentist | 612 Thurston Rd, Rochester, NY 14619-2131 | 2006-11-01 |
| 1306978028 | Colleen M. Gordon | Speech-Language Pathologist | 3950 3rd St N, Suite D, Saint Petersburg, FL 33703-6123 | 2007-03-09 |
| Street Address |
545 N BETHLEHEM PIKE STE 205 |
| City | AMBLER |
| State | PA |
| Zip Code | 19002-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700494499 | Gordon Orthodontics, LLC | Dentist | 545 N Bethlehem Pike Ste 205, Ambler, PA 19002-2557 | 2020-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003313 | Anpac Technology Usa Co Ltd | Clinical Medical Laboratory | 727 Norristown Rd., 3 Spring House Innovation Park Suite 150, Lower Gywnedd, PA 19002 | 2020-05-05 |
| 1043845019 | Eileen C Quinn | Behavioral Analyst | 323 Valley Brook Rd., Ambler, PA 19002 | 2020-03-10 |
| 1275032245 | Meredith A. Cheifetz, Ms, Rd, Ldn | Dietitian, Registered | 1429 Treetop Lane, Ambler, PA 19002 | 2018-02-06 |
| 1649728684 | Jennifer Xu | Specialist/Technologist | 902 Chesterfield Dr, Ambler, PA 19002 | 2016-09-20 |
| 1790232502 | Acts Signature Community Services, Inc. | Internal Medicine | 812 Bethlehem Pike, Ambler, PA 19002 | 2016-09-09 |
| 1477913564 | Kathleen D'ginto | Physical Therapy Assistant | 1024 N. Bethlehem Pike, Ambler, PA 19002 | 2016-03-02 |
| 1437557576 | John F Quigley | Family Medicine | 627 Chatsworth Dr., Ambler, PA 19002 | 2014-12-05 |
| 1578983748 | Christina Nucero | Occupational Therapist | 742 Calabria Lane, Ambler, PA 19002 | 2014-04-25 |
| 1023455094 | Antoine F. Julien | Psychiatry & Neurology | 701 Merrill Rd., Ambler (lower Gwyned), PA 19002 | 2013-05-30 |
| 1700135332 | Lynne Parker | Nurse Practitioner | 301 Norristown Road, Ambler, PA 19002 | 2012-08-29 |
| Find all providers in zip 19002 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386158681 | Matthew Joseph Cassera | Dentist | 7 East Skippack Pike, 105, Ambler, PA 19002-5310 | 2017-11-22 |
| 1710063318 | Steve Delligatti | Dentist | 7 E Skippack Pike Ste 105, Ambler, PA 19002-5308 | 2006-10-27 |
| 1700494499 | Gordon Orthodontics, LLC | Dentist | 545 N Bethlehem Pike Ste 205, Ambler, PA 19002-2557 | 2020-07-19 |
| 1255507141 | Cichetti & Delligatti Orthodontics, P.C. | Dentist | 7 E Skippack Pike, Suite 105, Ambler, PA 19002-5310 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668076 | Kellyn W. Hodges, Dmd, Ms, PC | Dentist | 411 Doylestown Rd Unit D, Montgomeryville, PA 18936-9636 | 2020-10-26 |
| 1871100941 | Micah Yetter | Dentist | 106 Canyon Ct, Latrobe, PA 15650-2504 | 2020-09-23 |
| 1174137293 | Rebecca Nara Lee | Dentist | 1040 Dekalb Pike Ste 100, Blue Bell, PA 19422-1862 | 2020-09-04 |
| 1841809688 | Noor Tarazi | Dentist | 539 Championship Dr, Harleysville, PA 19438-2178 | 2020-07-28 |
| 1023626850 | Orchard of Smiles Orthodontics LLC | Dentist | 1629 Bridgetown Pike, Feasterville Trevose, PA 19053-4218 | 2020-07-17 |
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1316560592 | Lakeview Orthodontics Pllc | Dentist | 959 S Township Line Rd Ste G, Royersford, PA 19468-1823 | 2020-05-22 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1437794047 | Pittsburgh Orthodontic Group | Dentist | 850 Clairton Blvd Ste 3200, Pittsburgh, PA 15236-4585 | 2019-11-07 |
| 1184275299 | Jake M Dorfman Dmd Pllc | Dentist | 345 Knowles Ave Ste 7, Southampton, PA 18966-4191 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.