DR. CHARLES G. GORDON D.D.S.
NPI 1831164722
Dentist - General Practice in Pueblo, CO

Q: What is Charles Gordon's NPI number?

The NPI number for Charles Gordon is 1831164722. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Charles Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Gordon was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 22, 2006

1026 EAGLERIDGE BLVD, PUEBLO, CO 81008(719) 372-0808 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles G. Gordon D.d.s. NPPES

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

DR. CHARLES G. GORDON D.D.S. (NPI 1831164722) is an individual general practice provider in Pueblo, Colorado, licensed in Colorado (7308) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1831164722

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHARLES G. GORDONCredential: D.D.S.

Location Address1026 EAGLERIDGE BLVDPueblo, CO 81008-2130

Mailing Address1026 Eagleridge BlvdPueblo, CO 81008-2130 · (719) 372-0808

Phone(719) 372-0808

Sole ProprietorYes

Enumeration DateFebruary 22, 2006

Last NPPES UpdateJanuary 12, 2011

✔ NPI 1831164722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 7308

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.

1026 EAGLERIDGE BLVD, Pueblo, CO 81008

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Other Identifiers 1

Medicaid02073088CO

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 GGORDON DDS LLC

Dentist

1026 EAGLERIDGE BLVD
PUEBLO, CO 81008

Pueblo County (719) 544-7672

CHARLES G GORDON DDS LLC

Dentist

1026 EAGLERIDGE BLVD
PUEBLO, CO 81008

Pueblo County (719) 544-7672

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 Gordon's NPI number?

The NPI number for Charles Gordon is 1831164722. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Charles Gordon located?

Charles Gordon practices at 1026 Eagleridge Blvd, Pueblo, CO 81008. The listed phone number is (719) 372-0808.

What is Charles Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Gordon was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.