Provider Demographics
NPI:1568179034
Name:GORDON C HONIG, DMD, PA
Entity Type:Organization
Organization Name:GORDON C HONIG, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-737-6333
Mailing Address - Street 1:2707 CAPITOL TRL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-6828
Mailing Address - Country:US
Mailing Address - Phone:302-737-6333
Mailing Address - Fax:
Practice Address - Street 1:2707 CAPITOL TRL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-6828
Practice Address - Country:US
Practice Address - Phone:302-737-6333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty