PHILIP J GORDON DDS PA NPI 1396362638

NPI Information

  • NPI: 1396362638
  • Provider Name: PHILIP J GORDON DDS PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 3628 W 95TH ST
    LEAWOOD, KS
    ZIP 66206
  • Phone: (913) 649-5017

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NPI Details

PHILIP J GORDON DDS PA is an oral and maxillofacial surgery dentist in Leawood, KS. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PHILIP J GORDON DDS PA NPI is 1396362638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3628 W 95TH ST
LEAWOOD, KS
ZIP 66206-035
Phone: (913) 649-5017
Fax: (913) 661-7186

The provider's authorized official is Philip Gordon .
The authorized official title is Owner and has the following contact phone number (913) 649-5017.

The enumeration date for this NPI number is 7/2/2020 and was last updated on 7/2/2020.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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