DR. SARA C GORDON (NPI# 1871516088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871516088 |
| Entity Type | Individual |
| Full Name | DR. SARA C GORDON |
| Credential | DDS |
| Practice Address |
801 S Paulina Street Dept of Oral Medicine Uic College of Dentistry Mc 838 Chicago IL 60612-7213 |
| Mailing Address |
801 S Paulina St Uic College of Dentistry, Omds (mc838) Chicago IL 60612-7210 |
| Practice Telephone | 3129961104 |
| Practice Fax Number | 3129969226 |
| Mailing Telephone | 3129961104 |
| Mailing Fax Number | 3129969226 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
2901017279 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972907087 | Sara Elizabeth Gordon | Physical Therapy Assistant | 8255 Trevi Ln, Clay, NY 13041-6920 | 2014-10-17 |
| 1962692954 | Sara Gordon | Counselor | 41945 Big Bear Bovd. Suite222, Big Bear Lake, CA 92315 | 2007-07-26 |
| 1578781951 | Sara Nan Gordon | Nurse Practitioner | 1212 7th St Se, Cedar Rapids, IA 52401-2602 | 2007-04-23 |
| 1821482837 | Sara Gordon | Pharmacist | 10701 East Blvd, Cleveland, OH 44106 | 2015-03-27 |
| 1518263011 | Sara Kendall Gordon | Acupuncturist | 55 Professional Center Pkwy, F, San Rafael, CA 94903-2755 | 2011-01-31 |
| 1902046808 | Sara M Gordon | Optometrist | 272 Cottage St, Sanford, ME 04073-1815 | 2009-03-05 |
| Street Address |
801 S PAULINA STREET DEPT OF ORAL MEDICINE UIC COLLEGE OF DENTISTRY MC 838 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558582148 | Joel Schwartz | Dentist | 801 S Paulina, Mc 621, Chicago, IL 60612 | 2007-05-01 |
| 1205808854 | Reza Mostofi | Dentist | 3407 W Bryn Mawr Ave, Chicago, IL 60659-3450 | 2006-02-06 |
| 1710413091 | Kathleen Higgins | Dentist | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2017-05-05 |
| 1063504819 | Michael A. Guthrie | Dentist | 1556 S Michigan Ave, 110, Chicago, IL 60605-2813 | 2006-09-29 |
| 1306837695 | Dennis Byron Solt | Dentist | 680 N Lake Shore Dr, Northwestern Medical Faculty Foundation, Chicago, IL 60611-4546 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982822912 | Oral and Maxillofacial Surgery Affiliates Ltd. | Dentist | 111 S Washington St., Ste 101, Park Ridge, IL 60068-4203 | 2007-04-23 |
| 1700920113 | Ordie H. King Jr. | Dentist | 6111 Vollmer Ln, Godfrey, IL 62035-1062 | 2007-02-18 |
| 1568514248 | Mark W Lingen | Dentist | 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 | 2007-01-16 |
| 1861402893 | Dennis Gerald Boyer | Dentist | 183 S Bloomingdale Rd Ste 205, Bloomingdale, IL 60108-1400 | 2006-08-09 |
| 1114967205 | Jerome E. Schoen | Dentist | 303 N Northwest Hwy, Barrington, IL 60010-3396 | 2006-06-07 |
| 1558312371 | James A Morrone | Dentist | 120 Oakbrook Ctr, Suite 700, Oak Brook, IL 60523-1806 | 2006-05-15 |
| 1417369539 | Dr. Hussein O. Ads, PC | Dentist | 91 W Schaumburg Rd, Schaumburg, IL 60194-3506 | 2014-05-22 |
| 1114363579 | Anthony Mitchell Elger | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2013-05-13 |
| 1114290988 | St. Charles Family Dentristry L.t.d. | Dentist | 516 E Main St, St Charles, IL 60174-2133 | 2012-02-09 |
| 1215123187 | Southwest Oral Surgeons,p.c. | Dentist | 6305 W 95th St, 3rd Floor, Oak Lawn, IL 60453-2255 | 2007-09-24 |
| Find all providers with the same taxonomy | ||||
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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.