DR. JOE GORDON D.D.S. NPI 1124199468

NPI Information

  • NPI: 1124199468
  • Provider Name: DR. JOE GORDON, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 514 N WESTERN AVE
    LAKE FOREST, IL
    ZIP 60045
  • Phone: (847) 482-1900

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NPI Details

DR. Joe Gordon, D.D.S. is a pediatric dentistry dentist in Lake Forest, IL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Joe Gordon, D.D.S. NPI is 1124199468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

514 N WESTERN AVE
LAKE FOREST, IL
ZIP 60045-989
Phone: (847) 482-1900
Fax: (847) 482-1909

The enumeration date for this NPI number is 11/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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