ROEDER SEBASTIAN GORDON - NPI: 1972713642


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1972713642
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: GORDON
Provider Last Name: ROEDER
Provider Middle Name: SEBASTIAN
Provider Name Prefix Text: DR.
Provider Gender Code: M
Provider Credential Text: DMD
Provider Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007

Business Address:

Provider First Line Business Mailing Address: 1326 W. BROAD ST.
Provider Business Mailing Address City Name: QUAKERTOWN
Provider Business Mailing Address State Name: PA
Provider Business Mailing Address Postal Code: 18951
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 2155381109
Fax Number: 2155366114

Mailing Address:

Provider First Line Business Practice Location Address: 1326 W. BROAD ST.
Provider Business Practice Location Address City Name: QUAKERTOWN
Provider Business Practice Location Address State Name: PA
Provider Business Practice Location Address Postal Code: 18951
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 2155381109
Fax Number: 2155366114

Primary Taxonomy:

Taxonomy Code: 1223G0001X
License Number: DS025683L
License State: PA
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Dental Providers
Classification: Dentist
Specialization: General Practice
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis
Taxonomy Description: treatment
Source: The National Provider Identifier

Related NPI Codes

NPI Code Provider
1962485177 QUAKERTOWN PEDIATRIC ASSOCIATES PC
1134249105 LIANG YULING
1336363894 BLEAM E LINDA
1972713642 ROEDER SEBASTIAN GORDON
1003000530 SEMONCHE MARIE AMANDA
1073791679 BOLLENBACH ELIZABETH ANN
1639303399 SOCCI M. EMILIO
1659503142 SCHOENLY R. BRIAN
1568790798 MASTROMINAS J CHRISTIANA
1164781191 QUAKERTOWN CHIROPRACTIC CLINIC LLC
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1548690498 FOX ALICE
1003943002 OSTROWSKI NICHOLE
1730244963 RUTH AUSTIN DO
1629131057 OSBORN RAY ROBERT
1316920390 HERNANDEZ DANNY
1740268044 NEWCOMER C PAUL
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1992718670 BLASCO S ANTHONY
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