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Charles Ggordon DDS LLC

Dentist in Pueblo, CO · enumerated 2015 · authorized official Charles Gordon, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528458510

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Registry record

Entity type Organization (Type 2)
Legal business name Charles Ggordon DDS LLC
Practice address 1026 Eagleridge Blvd, Pueblo, CO, 81008
Phone (719) 544-7672
Enumeration date Jan 28, 2015
Last updated in NPPES Jan 28, 2015

Taxonomy & classification

122300000X Dentist Dental Providers · License 7308 (CO) Primary

Authorized official

Name Charles Gordon
Title Dentist
Phone (719) 544-7672

Other identifiers

Identifier Type State Issuer
02073088 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Charles Ggordon DDS LLC?
The NPI for Charles Ggordon DDS LLC is 1528458510, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Charles Ggordon DDS LLC?
NPPES lists Charles Gordon (Dentist) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-28.