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

MARK J GORDON, DDS

Active

MARK J GORDON, DDS is a Dentist healthcare provider located in PRAIRIE VILLAGE, Kansas. NPI 1386643740 is currently active in the NPPES registry. Verify at CMS.

Dentist · PRAIRIE VILLAGE, KS

Registration Details

NPI Number
1386643740
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2005 (20.885726310569 yrs)
Last Updated
Jul 8, 2007
Licenses
5900 (KS)
013474 (MO)

Practice Information

Address
4121 W 83RD ST
SUITE 212
PRAIRIE VILLAGE, KS, 662085300
Browse KS providers · Browse ZIP 66208
Phone
9136494042
Fax
9136498898
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in PRAIRIE VILLAGE, KS

Name Credential NPI
DR. ROBERT M BROWNE DDS 1952371361
DR. JOHN S FAERBER DDS PA 1275504953
DR. LAURA M MENEES MOORE DDS 1104913607
DR. SUSAN KEIL KESSLER DDS 1033297387
DR. KEVIN JOSEPH KRAUSE DDS 1699854752
SUSAN A. COPE D.D.S. 1861567935
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.