Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP BRANDON GORDON, DMD
Active Sole ProprietorDR. PHILLIP BRANDON GORDON, DMD is a Pediatric Dentistry healthcare provider located in STATESBORO, Georgia. NPI 1942833595 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · STATESBORO, GA
Registration Details
- NPI Number
- 1942833595
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2020 (6.4653556653016 yrs)
- Last Updated
- Jul 30, 2024
- Licenses
-
DN016102 (GA)DN016102 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 HILL POND LNSTATESBORO, GA, 304580872Browse GA providers · Browse ZIP 30458
- Phone
- 9124025437
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in STATESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN LYNDON WASDIN | D.M.D. | 1821061557 |
| DR. SALLY YOUNG | DMD | 1043481609 |
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.