Samica Gordon, DDS is a 
Dentist - General Practice based in Liberty Twp, Ohio. Samica Gordon is licensed to practice in Ohio (license number 30.028124) and her current practice location is 
5307 Hildenbrand Way, Liberty Twp, Ohio. She can be reached at her office (for appointments etc.) via phone at 
(513) 759-7635.
NPI number for Samica Gordon is 1821989997 and her current mailing address is 3065 Granny Smith Ln, Middletown, Ohio. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821989997.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Samica Gordon | 
|---|
| Gender | Female | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 5307 Hildenbrand Way, Liberty Twp, Ohio | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1821989997
 - Provider Enumeration Date: 07/15/2025
 - Last Update Date: 07/18/2025
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Samica Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1821989997 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223G0001X | Dentist - General Practice  | 30.028124 (Ohio) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samica Gordon is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Samica Gordon, DDS 3065 Granny Smith Ln, Middletown, OH 45044-7955 Ph: (513) 306-9280 | Samica Gordon, DDS 5307 Hildenbrand Way, Liberty Twp, OH 45011-3078 Ph: (513) 759-7635 | 
		
		 
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