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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK RICHARD GORDON, D.D.S.

Active Sole Proprietor

DR. MARK RICHARD GORDON, D.D.S. is a Periodontology healthcare provider located in COLUMBUS, Ohio. NPI 1356365126 is currently active in the NPPES registry. Verify at CMS.

Periodontology · COLUMBUS, OH

Registration Details

NPI Number
1356365126
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2006 (20.017389302954 yrs)
Last Updated
Nov 28, 2020
Licenses
VA6393 (VA)
14432 (OH)
14332 (OH)
Sole Proprietor
Yes

Practice Information

Address
305 W 12TH AVE
COLUMBUS, OH, 432101267
Browse OH providers · Browse ZIP 43210
Phone
6146883763
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in COLUMBUS, OH

Name Credential NPI
DR. JEROME TABACCA D.D.S. 1942202163
DR. JINOUS ESLAMI DDS 1982798542
DR. RONALD B GARVEY DDS 1124108907
JOHN DOUGLAS WALTERS D.D.S. 1194809897
DR. ANGELO J MARIOTTI DDS, PHD 1538237664
DR. BINNAZ LEBLEBICIOGLU DDS, MS, PHD 1396894150
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.