DR. DONALD R GORDON DDS
NPI 1730138371
Dentist - Oral and Maxillofacial Surgery in Broomall, PA

Active since May 10, 2006
3 PINE TREE DR, BROOMALL, PA 19008(484) 485-7156 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Donald R Gordon Dds NPPES

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

DR. DONALD R GORDON DDS (NPI 1730138371) is an individual oral and maxillofacial surgery provider in Broomall, Pennsylvania, licensed in Pennsylvania (DS017817-L) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1730138371
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DONALD R GORDONCredential: DDS
Location Address3 PINE TREE DRBroomall, PA 19008-2740
Mailing Address3 Pine Tree DrBroomall, PA 19008-2740 · (484) 485-7156
Sole ProprietorYes
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 20, 2009
NPI 1730138371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in PA · DS017817-L
Definition

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.

Also ListedDentistTaxonomy 122300000X · License DN5723 (FL)
Also ListedAnesthesiologyTaxonomy 207L00000X · License DA017817A (PA)
3 PINE TREE DR, Broomall, PA 19008

Other Identifiers 4

Medicare UPIN00327940000PA
Medicare UPINT72151PA
Medicare UPIN2633PA
Medicare UPIN160920EMWPA

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
3 PINE TREE DR
BROOMALL, PA 19008

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 Donald Gordon's NPI number?

The NPI number for Donald Gordon is 1730138371. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Donald Gordon located?

Donald Gordon practices at 3 Pine Tree Dr, Broomall, PA 19008. The listed phone number is (484) 485-7156.

What is Donald Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Donald Gordon was last updated on November 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.