Phillip B. Gordon, DMD
Pediatric Dentistry · Statesboro, GA
UnclaimedDMDNPI 1942833595
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2020-02-21
- Practice location
- Statesboro, GA
- Last NPPES update
- 2024-07-30
State licenses
- GA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.