Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Charles Ggordon DDS LLC

Organization Dentist · NPI 1528458510

Charles Ggordon DDS LLC provides Dentist services in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1026 Eagleridge Blvd
Pueblo, CO 81008-2130 Not confirmed with CMS for 11 years — call before visiting
Phone: (719) 544-7672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7308 (CO)

Record details

NPI number1528458510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Gordon — Dentist · (719) 544-7672
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJanuary 28, 2015
Mailing address1026 Eagleridge Blvd, Pueblo, CO 81008-2130

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