Dr. Jerry P Gordon , DMD
Dentist - General Practice • Bensalem, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Gordon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Gordon, DMD was a registered Dentist - General Practice practicing in Bensalem, PA. Throughout an active medical career spanning 5 years, Dr. Gordon provided care at the practice location at 2734 STREET RD until profile deactivation on 2017-07-20.
Practice Location & Contact Primary Location
2734 Street Rd
Bensalem, PA 190202603
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Bensalem, PA
Practicing in Bensalem, PA (4936 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 20, 2017
NPI status registered as active in NPPES database
Registered at 2734 STREET RD, BENSALEM, PA 190202603 (Tel: 2156390571)
Registered at 2734 STREET RD, BENSALEM, PA 190202603 (Tel: 2156390571)
Recorded as JERRY GORDON, DMD
Dentist (License #DS08594L in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2734 Street Rd
Bensalem, PA 190202603
Phone: 2156390571
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