Individual provider · Type 1 NPI

Mark J. Gordon, DDS

Dentist · Prairie Village, KS

NPI number 1386643740 Active

Practice location

4121 W 83rd St, Suite 212
Prairie Village, KS 66208-5300

Call (913) 649-4042 Map

Fax (913) 649-8898

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X5900 (KS)
Dentist 122300000X013474 (MO)

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 requiremen…

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About NPI 1386643740

Mark J. Gordon, DDS's National Provider Identifier is 1386643740, issued on Jul 19, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Prairie Village, KS. The record was last updated on Jul 13, 2026.