Provider Demographics
NPI:1770659542
Name:GORDON, MARSHA ADLER (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:ADLER
Last Name:GORDON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1525 HAUSMAN RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9258
Mailing Address - Country:US
Mailing Address - Phone:610-433-5111
Mailing Address - Fax:610-433-4393
Practice Address - Street 1:1525 HAUSMAN RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9258
Practice Address - Country:US
Practice Address - Phone:610-433-5111
Practice Address - Fax:610-433-4393
Is Sole Proprietor?:No
Enumeration Date:2006-11-25
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026384L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE51022OtherDELTA DENTAL OF DE
MNCDMN1OtherDELTA DENTAL OF MN
IL05030OtherDELTA DENTAL OF IL
NY11198OtherDELTA DENTAL OF NY
PA23166OtherDELTA DENTAL OF PA
CO84056OtherDELTA DENTAL OF CO
OHCDOH1OtherDELTA DENTAL OF OH
TNCDTN1OtherDELTA DENTAL OF TN
WI39069OtherDELTA DENTAL OF WI
VA54084OtherDELTA DENTAL OF VA
WA91062OtherDELTA DENTAL OF WA
MICDM10OtherDELTA DENTAL OF MI
VT02027OtherDELTA DENTAL OF VT
RI05029OtherDELTA DENTAL OF RI
NC56101OtherDELTA DENTAL OF NC
AZ86027OtherDELTA DENTAL OF AR
KSCDKS1OtherDELTA DENTAL OF KS
OKCDOK1OtherDELTA DENTAL OF OK
MA04614OtherDELTA DENTAL OF MA
CT22189OtherDELTA DENTAL OF CT
CA77777OtherDELTA DENTAL OF CA
GA94276OtherDELTA DENTAL GA
MO43090OtherDELTA DENTAL OF MO
NJ22189OtherDELTA DENTAL OF NJ
IACDIA1OtherDELTA DENTAL OF IA