| Philip J Gordon Dds Pa | |
|
3628 W 95th St Leawood KS 66206-2035 | |
| (913) 649-5017 | |
| (913) 661-7186 |
| Full Name | Philip J Gordon Dds Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3628 W 95th St, Leawood, Kansas |
| Authorized Official Name and Position | Philip Gordon (OWNER) |
| Authorized Official Contact | 9136495017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip J Gordon Dds Pa 3628 W 95th St Leawood KS 66206-2035 Ph: (913) 649-5017 | Philip J Gordon Dds Pa 3628 W 95th St Leawood KS 66206-2035 Ph: (913) 649-5017 |
| NPI Number | 1396362638 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 07/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396362638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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