DR. JEFFREY H GORDON I (NPI# 1285713263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285713263 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY H GORDON I |
| Credential | DMD |
| Practice Address |
1764 Uinta Way Ste E1 Park City UT 84098-7674 |
| Practice Telephone | 4356473012 |
| Practice Fax Number | 4356459873 |
| Mailing Telephone | 4356473012 |
| Mailing Fax Number | 4356459873 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6377731 | UT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN0011082 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417294026 | Jeffrey Paul Gordon | Pharmacist | 3740 S Ocean Blvd, Highland Beach, FL 33487-3400 | 2013-01-16 |
| 1932371259 | Jeffrey Glen Gordon | Dentist | 2501 W 69th St, Chicago, IL 60629 | 2008-03-26 |
| 1215008495 | Jeffrey Stephen Gordon | Physical Therapist | 1755 Westwood Way # 7, Fairbanks, AK 99709-4064 | 2006-11-10 |
| 1285120451 | Jeffrey Andrew Gordon | Counselor | 2865 Logan Ave, San Diego, CA 92113 | 2018-07-10 |
| 1588169213 | Jeffrey Gordon | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2018-03-26 |
| 1770800310 | Jeffrey J Gordon | Acupuncturist | 1 West St, Pittsfield, MA 01201-6298 | 2010-04-21 |
| 1790914943 | Jeffrey P Gordon | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103 | 2009-07-09 |
| 1356579064 | Jeffrey Scott Gordon | Counselor | 935b Spring St, Placerville, CA 95667-4523 | 2009-07-01 |
| 1912042722 | Jeffrey M Gordon | Dentist | 130 Kinderkamack Rd, Suite 202, River Edge, NJ 07661-1939 | 2007-02-20 |
| 1093872020 | Jeffrey Scott Gordon | Chiropractor | 305 Sw 7th Ter, Gainesville, FL 32601-6458 | 2007-01-02 |
| Street Address |
1764 UINTA WAY STE E1 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-7674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644717 | G&g Dental Pllc | Clinic/Center | 1764 Uinta Way Ste E1, Park City, UT 84098-7674 | 2019-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245474428 | Jay E. Lieberman | Dentist | 559 Woodside Ave, Park City, UT 84060-0513 | 2009-05-01 |
| 1710137971 | Melissa Jane House | Dentist | 1615 E 61st St N Ste 300, Park City, KS 67219-1964 | 2008-09-24 |
| 1194992586 | Matthew Melvin Griffeth | Dentist | 1680 Ute Blvd, Suite B, Park City, UT 84098-7634 | 2008-05-14 |
| 1700068483 | James G Abraham II | Dentist | 1526 Ute Blvd # 113, Park City, UT 84098-7522 | 2007-12-04 |
| 1164624110 | Paul Innis Dmd Inc | Dentist | 6584 N. Creekside Lane, Park City, UT 84098 | 2007-06-01 |
| 1447478417 | Harini Jindal | Dentist | 1729 Sidewinder Dr, Ste 102, Park City, UT 84060-7322 | 2007-04-23 |
| 1396895702 | Michael Knight | Dentist | 3080 West Pinebrook Road, Suite #2000, Park City, UT 84098-5451 | 2007-01-11 |
| 1679662837 | Kent Max Johnson | Dentist | 1840 Sun Peak Dr, Park City, UT 84098-6732 | 2006-10-12 |
| 1699883520 | Scott M Chandler | Dentist | 3080 Pinebrook Rd Ste 2000, Park City, UT 84098-5451 | 2006-08-29 |
| 1609875715 | Jonathan F Coleman | Dentist | 1441 Ute Blvd., Suite 200, Park City, UT 84098 | 2005-07-20 |
| Find all providers in PARK CITY | ||||
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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.