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Contact Information

RYAN L GORDON, DDS MS
6601 LYNDALE AVE S
SUITE 230 WOODLAKE CENTRE
RICHFIELD, MN55423
 Phone: 612-638-1224
 Fax: 612-638-1232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RYAN L GORDON · (Male)

NPI Number 1316997240
Status Active
Credentials DDS MS
Entity Individual
Enumeration date 05/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D11620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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