DR. PAUL E GORDON (NPI# 1164448171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164448171 |
| Entity Type | Individual |
| Full Name | DR. PAUL E GORDON |
| Credential | DMD, M.D. |
| Practice Address |
77 S Bedford St Ste 100 Burlington MA 01803-5154 |
| Practice Telephone | 7812720800 |
| Practice Fax Number | 7812720806 |
| Mailing Telephone | 7812720800 |
| Mailing Fax Number | 7812720806 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8424 | MA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 246483 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831649912 | Paul Gordon | Counselor | 3049 N 55th St, Milwaukee, WI 53210-1564 | 2016-10-12 |
| 1013050749 | Paul J Gordon | Chiropractor | 3441 E Causeway Appr, Suite D, Mandeville, LA 70448-3480 | 2007-02-14 |
| 1164510517 | Paul Richard Gordon | Dentist | 4435 Valley View Dr, Suite 103, Knoxville, TN 37917-1300 | 2006-10-11 |
| 1356341994 | Paul James Gordon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10604 Southwest Hwy Ste 101, Chicago Ridge, IL 60415 | 2005-07-26 |
| 1215931936 | Paul Anthony Gordon | Family Medicine | 124a Professional Park Dr, Conway, SC 29526-9260 | 2005-06-09 |
| 1679632699 | Paul Herberton Gordon | Psychiatry & Neurology | 710 W 168th St, New York, NY 10032-3726 | 2006-12-06 |
| 1588771893 | Paul R Gordon | Hospitalist | 707 N Alvernon Way, Suite 101, Tucson, AZ 85711-1827 | 2006-08-23 |
| 1215043013 | Paul H Gordon | Emergency Medicine | 1010 4th St Sw, Mason City, IA 50401-2857 | 2006-08-22 |
| 1568496677 | Paul C Gordon | Internal Medicine | 208 Collyer St, Ste 100, Providence, RI 02904 | 2006-07-11 |
| 1275560831 | Paul R. Gordon | Pediatrics | 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2006-06-27 |
| Street Address |
77 S BEDFORD ST STE 100 |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678930 | Christopher G Pace | Dentist | 77 S Bedford St Ste 100, Burlington, MA 01803-5154 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447364666 | Dewey G Carter | Oral & Maxillofacial Surgery | 853 Heather Rd, Burlington, NC 27215-6288 | 2006-08-17 |
| 1437292752 | Thayalan Krishna Cumarasamy | Oral & Maxillofacial Surgery | 1816 Mount Holly Rd, Suite 102, Burlington, NJ 08016-4718 | 2007-02-15 |
| 1356484687 | Family Physicians At Burlington | Oral & Maxillofacial Surgery | 1816 Mount Holly Rd, Suite 102, Burlington, NJ 08016-4718 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518452705 | Yisi D Ji | Oral & Maxillofacial Surgery | 165 Cambridge St Ste 401, Mgh Dental Group, Boston, MA 02114-2750 | 2018-06-29 |
| 1013219476 | Karim E . Berty Dmd Md PC | Oral & Maxillofacial Surgery | 100 Amesbury St Ste 112, Lawrence, MA 01840-1321 | 2010-11-17 |
| 1457587065 | Zachary Scott Peacock | Oral & Maxillofacial Surgery | 55 Fruit Street, Warren 1201, Boston, MA 02114-2621 | 2009-06-10 |
| 1851580708 | Basim Jamal | Oral & Maxillofacial Surgery | 820 Harrison Ave, Fgh Building 4th Floor, Boston, MA 02118-2905 | 2007-10-16 |
| 1780875336 | Paul E Tesone Dds | Oral & Maxillofacial Surgery | One Centre Street, Malden, MA 02148 | 2007-08-08 |
| 1477679157 | Facial & Oral Surgery, LLC. | Oral & Maxillofacial Surgery | 17 N Washington St, North Attleboro, MA 02760-1605 | 2007-03-22 |
| 1003954504 | Timothy S Colton Dds PC | Oral & Maxillofacial Surgery | 164 Washington St, Suite 102, Norwell, MA 02061 | 2007-02-05 |
| 1609970268 | Brett Culver Denhart | Oral & Maxillofacial Surgery | 1066 Granby Road, Chicopee, MA 01020 | 2006-09-12 |
| 1265447965 | Edward T Lahey IIi | Oral & Maxillofacial Surgery | 15 Parkman St Wac 230, Oral & Maxillofacial Surgery, Boston, MA 02114 | 2006-07-30 |
| 1558382572 | Connecticut Valley Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 243 King St, Suite 101, Northampton, MA 01060-2451 | 2006-07-23 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
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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.