DR. MARK HOWARD GORDON DDS
NPI 1396734331
Dentist - General Practice in Valley Stream, NY

Active since October 20, 2005
15 FLETCHER AVE, VALLEY STREAM, NY 11580(516) 561-1577(516) 561-1577 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Howard Gordon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK HOWARD GORDON DDS (NPI 1396734331) is an individual general practice provider in Valley Stream, New York, licensed in New York (036092) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1396734331
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK HOWARD GORDONCredential: DDS
Location Address15 FLETCHER AVEValley Stream, NY 11580-4000
Mailing Address15 Fletcher AveValley Stream, NY 11580-4000 · (516) 561-1577 · Fax (516) 561-1577
Fax(516) 561-1577
Sole ProprietorYes
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1396734331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 036092
Definition
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.
15 FLETCHER AVE, Valley Stream, NY 11580

Other Identifiers 1

Medicaid00717506NY

Accepted Insurance

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
15 FLETCHER AVE, VALLEY STREAM MEDICAL ASSOCIATES, P.C.
VALLEY STREAM, NY 11580
Internal Medicine
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Surgery
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Chiropractor
15 FLETCHER AVE, #7
VALLEY STREAM, NY 11580
Surgery
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Surgery
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Psychologist (Clinical)
15 FLETCHER AVE
VALLEY STREAM, NY 11580
Chiropractor
15 FLETCHER AVE, #7
VALLEY STREAM, NY 11580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Gordon's NPI number?

The NPI number for Mark Gordon is 1396734331. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Mark Gordon located?

Mark Gordon practices at 15 Fletcher Ave, Valley Stream, NY 11580. The listed phone number is (516) 561-1577.

What is Mark Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark Gordon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.