Individual provider · Type 1 NPI
Phillip Brandon Gordon, DMD
Pediatric Dentistry · Statesboro, GA
NPI number
1942833595
Active
Practice location
123 Hill Pond Ln
Statesboro, GA 30458-0872
Mailing address
2128 Gary St
Augusta, GA 30904-3573
Other practice locations
- 100 Blue Moon Xing Ste 105, Pooler, GA 31322-9809 · (912) 200-8841
- 4849 Paulsen St Ste 101, Savannah, GA 31405-4424 · (912) 298-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | DN016102 (GA) |
| Pediatric Dentistry Primary | 1223P0221X | DN016102 (GA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Statesboro
About NPI 1942833595
Phillip Brandon Gordon, DMD's National Provider Identifier is 1942833595, issued on Feb 21, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Statesboro, GA. The record was last updated on Jul 30, 2024.