DR. LESLIE R GORDON (NPI# 1235352543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235352543 |
| Entity Type | Individual |
| Full Name | DR. LESLIE R GORDON |
| Credential | D.D.S. |
| Practice Address |
814 Jefferson Ave Memphis TN 38105-5041 |
| Mailing Address |
3240 River Valley Ln Memphis TN 38119-8090 |
| Practice Telephone | 9015447597 |
| Practice Fax Number | 9015447602 |
| Mailing Telephone | 9015447600 |
| Mailing Fax Number | 9015447602 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS8483 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DENTIST LICENSE | DS8483 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131225 | Leslie Gordon | Counselor | 1071 W 15th St Unit 147, Chicago, IL 60608-2782 | 2016-05-13 |
| 1164754966 | Leslie Gordon | Counselor | 2308 Houma Blvd Apt 504, Metairie, LA 70001-1310 | 2010-02-03 |
| 1174758692 | Leslie Michael Gordon | Marriage & Family Therapist | 7432 Wiles Rd, Coral Springs, FL 33067-2066 | 2009-05-28 |
| 1225186794 | Leslie J Gordon | Social Worker | 81 Rossini Rd, Westerly, RI 02891-4754 | 2007-01-08 |
| 1457843484 | Leslie Anne Gordon | Social Worker | 780 Albany St, Boston, MA 02118-2755 | 2018-06-05 |
| 1730611120 | Leslie Gordon | Counselor | 540 Madison Oak Dr, Suite 340, San Antonio, TX 78258-3943 | 2017-04-03 |
| 1063775849 | Leslie Fz Gordon | Specialist | 1 Delaware Rd, Kenmore, NY 14217-2743 | 2012-06-18 |
| 1831307032 | Leslie Gordon | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2007-05-19 |
| 1104038231 | Leslie Ellen Gordon | Ophthalmology | 3777 Broadway, New York, NY 10032-1541 | 2007-05-03 |
| Street Address |
814 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255320248 | Anne Hill | Dentist | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2005-10-21 |
| 1316579816 | Sheila Maclin | Nurse Practitioner | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2020-02-12 |
| 1881180206 | Chudney Akissi Williams | Nurse Practitioner | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2018-07-09 |
| 1255565305 | Kenneth Stanley Robinson | Preventive Medicine | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2009-05-05 |
| 1083853105 | State of Tennessee | Clinical Medical Laboratory | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2009-02-12 |
| 1285845750 | Memphis and Shelby County Health Department | Pharmacy | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-05-25 |
| 1154537876 | Memphis and Shelby County Health Dept Pharmacy | Pharmacist | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-05-16 |
| 1285857599 | Joanne Brown | Registered Nurse | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-04-11 |
| 1518099936 | Darlene B Olive | Registered Nurse | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-03-12 |
| 1508998907 | Sharon H Wright | Registered Nurse | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016796 | John Jafarian | Dentist | Department of Periodontology 875 Union Avenue, Memphis, TN 38163-0001 | 2019-11-01 |
| 1689221152 | Dental Sleep Solutions Memphis Pllc | Dentist | 6389 N Quail Hollow Rd Ste 202, Memphis, TN 38120-1427 | 2019-08-20 |
| 1811540644 | Jane Nathanielle Moore | Dentist | 875 Union Ave Dunn Bldg Rm 502c, Memphis, TN 38163-0001 | 2019-07-21 |
| 1972096998 | Binal Jagadish Patel | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-13 |
| 1952894909 | Richard Anthony Law | Dentist | 875 Union Ave Dept of Orthodontics, Memphis, TN 38163-0001 | 2018-06-13 |
| 1497283691 | David Calvin Harris | Dentist | 6425 N Quail Hollow Rd Ste 101, Memphis, TN 38120-1438 | 2017-06-01 |
| 1427581057 | Ashley Hutchison | Dentist | 70 River Heights Dr Apt 304, Memphis, TN 38103-6970 | 2017-04-10 |
| 1790238533 | Fnu Sufia Kazima | Dentist | 3068 Covington Pike Ste 2, Memphis, TN 38128-5001 | 2016-07-28 |
| 1972958288 | Paul N. Gregory Jr. | Dentist | Univ of Tn College of Dentistry, 875 Union Ave., Memphis, TN 38163-0001 | 2016-04-25 |
| 1184083420 | Dove Family Dentistry - Bennington Pllc | Dentist | 5144 Riverdale Rd Ste 106, Memphis, TN 38141-0271 | 2016-02-15 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.