DR. JONATHAN MELVIN GORDON NPI 1255448767

NPI Information

DR. Jonathan Melvin Gordon is a periodontics dentist in Beverly Hills, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Jonathan Melvin Gordon NPI is 1255448767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

414 N CAMDEN DR
SUITE 1260
BEVERLY HILLS, CA
ZIP 90210-532
Phone: (310) 859-8123
Fax: (310) 859-2884

The enumeration date for this NPI number is 8/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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