BRANDON D GORDON (NPI# 1992968804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992968804 |
| Entity Type | Individual |
| Full Name | BRANDON D GORDON |
| Credential | DDS |
| Practice Address |
7186 Sage View Cr Idaho Falls ID 83406 |
| Practice Telephone | 4416871481 |
| Mailing Telephone | 4416871481 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6655977-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417148271 | Brandon Alexander Gordon | Dentist | 1010 Livernois St, Ferndale, MI 48220-3347 | 2007-08-07 |
| Street Address |
7186 SAGE VIEW CR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1710236823 | Flower D. Aston | Dietitian, Registered | 300 Bridger Drive, Ammon, ID 83406 | 2012-09-05 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1760719934 | Snf Ammon Operating Company LLC. | Skilled Nursing Facility | 3909 South 25th East, Ammon, ID 83406 | 2009-11-10 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| 1891996526 | Help, Inc. | Community/Behavioral Health | 1465 Hoopes Ave, Idaho Falls, ID 83406 | 2007-05-30 |
| 1437294345 | Oliver Daniel Smith | Family Medicine | 3669 Ellendale Circle, Idaho Falls, ID 83406 | 2007-02-20 |
| Find all providers in zip 83406 | ||||
| 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 |
|---|---|---|---|---|
| 1033560578 | Id Dental Associates, P.C. | Dentist | 2818 S 25th E, Idaho Falls, ID 83404 | 2016-06-27 |
| 1205175668 | Foothills Dental Care, Pllc | Dentist | 1655 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2013-02-05 |
| 1386953958 | Chad Jeffrey Coombs | Dentist | 2860 Valencia Dr Ste 100, Idaho Falls, ID 83404-7597 | 2010-09-30 |
| 1790092468 | Jeff Ybarguen | Dentist | 3423 Merlin Dr Ste 100, Idaho Falls, ID 83404-7430 | 2010-09-01 |
| 1376876110 | Kent Cutforth Dds | Dentist | 1370 E. 17th Street, Idaho Falls, ID 83404 | 2009-09-11 |
| 1083818371 | Philip R Harper | Dentist | 3550 Washington Pkwy, Idaho Falls, ID 83404-4968 | 2007-06-12 |
| 1356465660 | Eagle Rock Dental Care | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2007-03-19 |
| 1750413456 | Thomas T Anderson | Dentist | 2685 Channing Way, Idaho Falls, ID 83404 | 2007-03-09 |
| 1619010477 | Vern Barry Bruggeman | Dentist | 333 So Woodruff Ave, Idaho Falls, ID 83401 | 2007-02-14 |
| 1851449003 | Elite Dental Care, Pllc | Dentist | 3423 Merlin Dr, Suite 100, Idaho Falls, ID 83404-7430 | 2007-01-06 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83406 |
Please comment or provide details below to improve the information on BRANDON D GORDON.
| 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.