Stanley Gordon, DDS

NPI 1427077866 · on the registry since 2006 · sole proprietor

Practice

Address: 14750 Nw 44th Ct
Coast Guard Air Station Miami
Opa Locka, FL 33054
Phone: (305) 953-2359
Fax: (305) 953-2251
Organisation at this address: Uscg Clinic Air Station Miami
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida