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CHARLES GGORDON DDS LLC
NPI 1528458510
Dentist in Pueblo, CO

Active since January 28, 2015
1026 EAGLERIDGE BLVD, PUEBLO, CO 81008(719) 544-7672 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Ggordon Dds Llc NPPES

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

CHARLES GGORDON DDS LLC (NPI 1528458510) is a healthcare organization registered as a dentist in Pueblo, Colorado and active in the NPI registry since January 2015. The organization lists Charles Gordon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1528458510
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCHARLES GGORDON DDS LLC
Location Address1026 EAGLERIDGE BLVDPueblo, CO 81008-2130
Mailing Address1026 Eagleridge BlvdPueblo, CO 81008-2130 · (719) 544-7672
Phone(719) 544-7672
Organization SubpartNo
Authorized OfficialCharles GordonDentist · (719) 544-7672
Enumeration DateJanuary 28, 2015
✔ NPI 1528458510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · 7308
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1026 EAGLERIDGE BLVD, Pueblo, CO 81008
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Other Identifiers 1

Medicaid02073088CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CHARLES G GORDON DDS LLC
Dentist
1026 EAGLERIDGE BLVD
PUEBLO, CO 81008
Pueblo County (719) 544-7672
DR. CHARLES G. GORDON D.D.S.
Dentist (General Practice)
1026 EAGLERIDGE BLVD
PUEBLO, CO 81008
Pueblo County (719) 372-0808

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 Charles Ggordon Dds LLC's NPI number?

The NPI number for Charles Ggordon Dds LLC is 1528458510. It was assigned to this organization in the NPPES registry on January 28, 2015.

Where is Charles Ggordon Dds LLC located?

Charles Ggordon Dds LLC is located at 1026 Eagleridge Blvd, Pueblo, CO 81008. The listed phone number is (719) 544-7672.

What is Charles Ggordon Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Charles Ggordon Dds LLC was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.