Individual provider · Type 1 NPI

Jason M. Gordon, DDS

Dentist · Salt Lake City, UT

NPI number 1801455597 Active

Practice location

1963 S 1200 E Ste 103
Salt Lake City, UT 84105-3523

Mailing address

4577 S 4000 W Ste B
West Valley, UT 84120-6222

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X11313905-9922 (UT)

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 1801455597

Jason M. Gordon, DDS's National Provider Identifier is 1801455597, issued on Jun 6, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 9, 2020.