DR. Jacques Lenoel Gordon, DMD is an oral and maxillofacial surgery dentist in Atlanta, GA. 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. Jacques Lenoel Gordon, DMD NPI is 1881729820. 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:
3885 PRINCETON LAKES WAY SW
STE 408
ATLANTA, GA
ZIP 30331-589
Phone: (404) 629-6610
Fax: (404) 629-6630
The NPI 1881729820 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 2/22/2007 and was last updated on 4/29/2010.