Mark J Gordon is a Dentist in Prairie Village, Kansas. Mark J Gordon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark J Gordon is 1386643740. The last update date is 2007-07-08.
Mark J Gordon's current location address is 4121 W 83rd St, Prairie Village, Kansas. You can contact this provider via phone number 9136494042 and fax number 9136498898. The mailing address for Mark J Gordon is 4121 W 83rd St, Prairie Village, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Gordon |
|---|---|
| Address | 4121 W 83rd St, Prairie Village, Kansas |
| Phone Number | 9136494042 |
| Fax Number | 9136498898 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386643740 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4121 W 83rd St |
|---|---|
| City | Prairie Village |
| State | Kansas (KS) |
| Post Code | 662085300 |
| Phone Number | 9136494042 |
| Fax Number | 9136498898 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5900 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 09533-01-8 | MO | BCBS | |
| 79345 | KS | BCBS |
Post Comment/ Review Below
What is the Mark J Gordon's 1386643740?
The Mark J Gordon's NPI (National Provider Identifier) Number is 1386643740. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark J Gordon's physical address?
The Mark J Gordon is physically located at 4121 W 83Rd St, in the city of Prairie Village, KS, with the postal code 662085300.
What is the area of specialization for Mark J Gordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark J Gordon is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Mark J Gordon receive its 1386643740 assignment?
The Mark J Gordon was assigned its 1386643740 on 2005-07-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark J Gordon most recently updated?
The details pertaining to the Mark J Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.