Jared William Gordon, DMD

Dentist · Catoosa, OK

Individual Active NPI

NPI number 1902596570

Practice location

2036 S Miller Ln Ste B
Catoosa, OK 74015-1539
Phone
(918) 937-7660

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NPI record

NPI
1902596570
Entity type
Individual (Type 1)
Enumeration date
May 8, 2023
Last updated
May 8, 2023
Certified
May 8, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 7746 OK

Mailing address

910 E Gary Pl
Broken Arrow, OK 74012-7784
Phone
(801) 874-9593

About Dr. Gordon

Jared William Gordon, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2036 S Miller Ln Ste B, Catoosa, OK 74015-1539. The NPI number 1902596570 was assigned on May 8, 2023 and the record was last updated on May 8, 2023.

Dr. Gordon lists a license in the registry: #7746 (OK) 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 Jared William Gordon, DMD?

The NPI number is 1902596570.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (918) 937-7660.

Where is Dr. Gordon located?

2036 S Miller Ln Ste B, Catoosa, OK 74015-1539.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 122300000X – Dentist.

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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