Jeffrey H. Gordon I, DMD

General Practice Dentistry · Park City, UT

Individual Active NPI

NPI number 1285713263

Practice location

1764 Uinta Way Ste E1
Park City, UT 84098-7674
Phone
(435) 647-3012
Fax
(435) 645-9873

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NPI record

NPI
1285713263
Entity type
Individual (Type 1)
Enumeration date
November 2, 2006
Last updated
July 30, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6377731 UT
General Practice Dentistry 1223G0001X DN0011082 FL

About Dr. Gordon

Jeffrey H. Gordon I, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1764 Uinta Way Ste E1, Park City, UT 84098-7674. The NPI number 1285713263 was assigned on November 2, 2006 and the record was last updated on July 30, 2019.

Dr. Gordon lists 2 licenses in the registry: #6377731 (UT) for General Practice Dentistry; #DN0011082 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey H. Gordon I, DMD?

The NPI number is 1285713263.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (435) 647-3012.

Where is Dr. Gordon located?

1764 Uinta Way Ste E1, Park City, UT 84098-7674.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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