Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BROCK VAN GORDON, D.M.D.
Active Sole ProprietorDR. BROCK VAN GORDON, D.M.D. is a General Dentistry healthcare provider located in TUALATIN, Oregon. NPI 1962554584 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · TUALATIN, OR
Registration Details
- NPI Number
- 1962554584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.575145040415 yrs)
- Last Updated
- Jul 14, 2025
- Licenses
-
D7947 (OR)D7947 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6485 SW BORLAND RD STE GTUALATIN, OR, 970629762Browse OR providers · Browse ZIP 97062
- Phone
- 5038784163
- Fax
- 8334387620
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in TUALATIN, OR
| Name | Credential | NPI |
|---|---|---|
| PARI SAMANI | D.M.D. | 1144228602 |
| FRED FISCHER | D.M.D. | 1073511549 |
| CANDACE L PETERSON | DMD | 1780682526 |
| DR. JUN XIAO | DDS | 1245231075 |
| DR. IAN PHAM | DMD | 1710947494 |
| DR. WILLIAM JORDAN | D.M.D., F.A.G.D. | 1366474678 |
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.