DR. COLLEEN M GORDON (NPI# 1508943200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508943200 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN M GORDON |
| Credential | D.D.S. |
| Practice Address |
612 Thurston Rd Rochester NY 14619-2131 |
| Practice Telephone | 5853285029 |
| Practice Fax Number | 5853285592 |
| Mailing Telephone | 5853285029 |
| Mailing Fax Number | 5853285592 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
032203 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00698980 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023449352 | Colleen Mohan Gordon | Dentist | 545 N Bethlehem Pike Ste 205, Ambler, PA 19002-2557 | 2013-12-12 |
| 1306978028 | Colleen M. Gordon | Speech-Language Pathologist | 3950 3rd St N, Suite D, Saint Petersburg, FL 33703-6123 | 2007-03-09 |
| Street Address |
612 THURSTON RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14619-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910430 | Cotton Blue Medical Transportation | Non-emergency Medical Transport (VAN) | 1035 Genesee Park Blvd, Rochester, NY 14619 | 2019-09-04 |
| 1700342714 | Shalom Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 84 Penhurst St, Rochester, NY 14619 | 2019-02-14 |
| 1639656689 | Dl Nursing Services | Licensed Practical Nurse | 116 Kingsboro Rd, Rochester, NY 14619 | 2018-07-23 |
| 1790206720 | Albert Tomlin Jr. | Driver | 121 Aberdeen St, Rochester, NY 14619 | 2017-06-29 |
| 1760915995 | Irie Transportation Associated | Taxi | 8-b Bradburn St, Rochester, NY 14619 | 2017-04-05 |
| 1902265366 | Trifena Browning | Licensed Practical Nurse | 167 Normandy Ave, Rochester, NY 14619 | 2016-02-15 |
| 1144663154 | Lehana Doctor | Social Worker | 107 Norris Drive, Suite D, Rochester, NY 14619 | 2013-04-09 |
| 1003190745 | Tanis Sharon Bridges | Registered Nurse | 261 Elmdorf Avenue, Rochester, NY 14619 | 2011-09-29 |
| 1386965853 | Pelecia Bordeaux | Licensed Practical Nurse | 340 Thurston Rd, Rochester, NY 14619 | 2010-06-18 |
| 1083933477 | Antoniece Keyonia-renee Poole | Licensed Practical Nurse | 77 Ringle St., Rochester, NY 14619 | 2010-05-25 |
| Find all providers in zip 14619 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091763 | Erie Canal Dental Pllc | Dentist | 91 Erie Canal Dr Ste A, Rochester, NY 14626-4603 | 2020-07-26 |
| 1891303962 | Bryson Sloan Rushing | Dentist | 18 3rd St Sw Ste 300, Rochester, MN 55902-3022 | 2020-07-15 |
| 1033777636 | Mindy D Dogmanits | Dentist | 1300 Jefferson Rd Ste 300, Rochester, NY 14623-3195 | 2019-05-30 |
| 1447814553 | Gilbert Frank Hernandez | Dentist | 1299 Portland Ave Ste 4, Rochester, NY 14621-2727 | 2019-04-24 |
| 1669935920 | Michael Delucia | Dentist | 2105 Dewey Ave, Rochester, NY 14615-2207 | 2019-04-12 |
| 1912460189 | Vincenzo Giuseppe Marino | Dentist | 550 Latona Rd Ste B100, Rochester, NY 14626-2723 | 2019-04-12 |
| 1699255307 | Urgent Dental Care, Pllc | Dentist | 1740 Culver Rd Lowr Suite, Rochester, NY 14609-3836 | 2018-08-21 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on DR. COLLEEN M GORDON.
| 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.