Douglas James Gordon, DDS

Dentist · Auburn, WA

Individual Active NPI

NPI number 1457363707

Practice location

126 Auburn Ave Ste 100
Auburn, WA 98002-5082
Phone
(253) 804-8713

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NPI record

NPI
1457363707
Entity type
Individual (Type 1)
Enumeration date
August 13, 2006
Last updated
December 15, 2020
Certified
December 15, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE60918629 WA
Dentist 122300000X CA25712 CA

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone
(425) 277-1311
Fax
(425) 277-1566

Other practice locations (1)

  • 2150 Appian Way, Ste 208, Pinole, CA 94564 · (510) 741-7100

About Dr. Gordon

Douglas James Gordon, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 126 Auburn Ave Ste 100, Auburn, WA 98002-5082. The NPI number 1457363707 was assigned on August 13, 2006 and the record was last updated on December 15, 2020.

Dr. Gordon lists 2 licenses in the registry: #DE60918629 (WA) for Dentist; #CA25712 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Douglas James Gordon, DDS?

The NPI number is 1457363707.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (253) 804-8713.

Where is Dr. Gordon located?

126 Auburn Ave Ste 100, Auburn, WA 98002-5082.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 122300000X – Dentist; 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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