DR. JENNIFER L GORDON-MALONEY D.D.S. NPI 1598758260

NPI Information

NPI: 1598758260
Provider Name: DR. JENNIFER L GORDON-MALONEY, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
300 STONECREST BOULEVARD
SUITE 385
SMYRNA, TN
ZIP 37167
Phone: (615) 223-1200
Get Directions

DR. Jennifer L Gordon-maloney, D.D.S. is an oral and maxillofacial surgery dentist in Smyrna, TN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jennifer L Gordon-maloney, D.D.S. NPI is 1598758260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 STONECREST BOULEVARD
SUITE 385
SMYRNA, TN
ZIP 37167-200
Phone: (615) 223-1200
Fax: (615) 223-1090

The NPI 1598758260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/26/2005 and was last updated on 7/9/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS0000007428	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0015738	OTHER	TENNESSEE	DORAL DENTAL OF TN ID#
2	272484	OTHER	TENNESSEE	CIGNA DMO DENTAL ID #
3	U90077	MEDICARE UPIN	TENNESSEE
4	3728862	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE ID #
5	000000232437	OTHER	TENNESSEE	UNITED HEALTHCARE ID#
6	3728862	MEDICAID	TENNESSEE
7	4095527	OTHER	TENNESSEE	BC/BS MEDICAL/DENTAL ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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