Charles G Gordon DDS LLC
NPI 1588112726ActiveOrganization· Dentist· Pueblo, CO
Dentist in Pueblo, Colorado, registered in NPPES in September 2016, part of Charles Gordon DDS LLC. The authorized official on file is Charles Gordon, Member.
Overview
| NPI | 1588112726 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Charles Gordon DDS LLC |
| NPI issued | Sep 16, 2016 |
| Last updated in NPPES | Sep 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 7308 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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