DR. JOHN A GORDON JR. (NPI# 1134205586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134205586 |
| Entity Type | Individual |
| Full Name | DR. JOHN A GORDON JR. |
| Credential | DMD |
| Practice Address |
901 West Route 34 Suite 103 Plano IL 60545 |
| Mailing Address |
1083 Hampton Ln Yorkville IL 60560-8004 |
| Practice Telephone | 6305529200 |
| Practice Fax Number | 6305529491 |
| Mailing Telephone | 6308780351 |
| Mailing Fax Number | 6303577974 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2009-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019020648 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566151 | John Gordon | Pharmacist | 18740 Se River Ridge Rd, Tequesta, FL 33469-8106 | 2018-07-28 |
| 1265672331 | John Huntington Gordon | Speech-Language Pathologist | 280 Warburton Ave, Hastings On Hudson, NY 10706-2809 | 2009-03-02 |
| 1952422560 | John Robert Gordon | Dentist | 5901 Nw 63rd Ter, Suite150, Kansas City, MO 64151-3319 | 2007-04-02 |
| 1093868051 | John Edward Gordon | Psychiatry & Neurology | 1200 W. Ironwood, Suite # 306, Coeur D' Alene, ID 83814 | 2007-01-20 |
| 1902985120 | John Joseph Gordon | Dentist | 2425 Sw Vermont St, Portland, OR 97219-1939 | 2006-11-06 |
| 1669557526 | John Charles Gordon | Orthopaedic Surgery | 6830 Hospital Drive #202, Baltimore, MD 21237-4377 | 2006-10-26 |
| 1801980479 | John Gordon | Obstetrics & Gynecology | 11126 Kingston Pike, Knoxville, TN 37934-2806 | 2006-10-03 |
| 1750491866 | John Lynn Gordon | Dentist | 1315 South 8th, Deming, NM 88030 | 2006-08-30 |
| 1831158351 | John David Gordon | Physician Assistant | 88 E Tioga Ave Ste 102, 88 Tioga Avenue, Ste 102, Corning, NY 14830-2858 | 2006-03-22 |
| 1538145180 | John G Gordon | Pharmacist | 115 N Granite Ave, Granite Falls, WA 98252-2348 | 2005-12-15 |
| Street Address |
901 WEST ROUTE 34 SUITE 103 |
| City | PLANO |
| State | IL |
| Zip Code | 60545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598270035 | Thomas John Wade | Speech-Language Pathologist | 430 Mitchell Drive, Plano, IL 60545 | 2017-12-06 |
| 1902310857 | Jodi Sell | Speech-Language Pathologist | Pasec, 800 S Hale St, Plano, IL 60545 | 2017-11-29 |
| 1023161940 | William Yaw-ntaaku Asihene | Surgery | 12700 Us Highway 34, Plano, IL 60545 | 2007-01-22 |
| 1609941319 | Jose G Trevino Sr. | Registered Nurse | 1200 W South St, Plano, IL 60545 | 2006-11-21 |
| 1104853902 | Snehal K Kulkarni | Audiologist | 11000 E. Rt 34, Ste 3, Plano, IL 60545 | 2006-06-27 |
| 1376640730 | Riverglen Ear, Nose & Throat and Audiology, LLC | Otolaryngology | 11000 E. Rt 34, Ste 3, Plano, IL 60545 | 2006-09-20 |
| 1508920828 | Thomas W. Barney | Chiropractor | 200 S. Hale St., Ste. 2, Plano, IL 60545-0188 | 2006-12-21 |
| 1861524233 | Nancy Lynn Reiland | Occupational Therapist | 2009 Bittersweet Dr, Plano, IL 60545-1066 | 2007-03-12 |
| 1407031065 | Reiland Therapy Services, P.C. | Occupational Therapist | 2009 Bittersweet Dr, Plano, IL 60545-1066 | 2008-01-02 |
| 1477996924 | Melissa Bedford | Speech-Language Pathologist | 216 E Abe St, Plano, IL 60545-1311 | 2013-04-15 |
| Find all providers in zip 60545 | ||||
| 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 |
|---|---|---|---|---|
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1205473139 | Mahdiya I Ahmed | Dentist | 2831 W 15th St # 200, Plano, TX 75075-7527 | 2019-12-10 |
| 1548828171 | Sonya Berriche | Dentist | 6202 W Park Blvd, Plano, TX 75093-6200 | 2019-05-29 |
| 1528622693 | Tc Dental Pa | Dentist | 5938 W Parker Rd Ste 200, Plano, TX 75093-6416 | 2019-04-24 |
| 1184199390 | Kasra Dabeshlim | Dentist | 101 W Spring Creek Pkwy Ste 732, Plano, TX 75023-4631 | 2018-10-04 |
| 1134636574 | Shurouk Zakia Azzo | Dentist | 7516 Trevino Dr, Plano, TX 75025-6129 | 2018-01-08 |
| 1417477605 | Kathryn Lyn James | Dentist | 6317 Preston Rd Ste 500, Plano, TX 75024-2677 | 2017-06-20 |
| 1659803112 | Aduddell Dentistry Pllc | Dentist | 1300 Medical Ave Ste 101, Plano, TX 75075-7798 | 2017-04-03 |
| 1033641675 | Smile Strong Dental, Pllc | Dentist | 1921 W 15th St, Suite 100, Plano, TX 75075-7337 | 2017-04-02 |
| 1891236204 | Dash Dental Associates Pllc | Dentist | 2220 Coit Rd Ste 570, Plano, TX 75075-3710 | 2017-03-17 |
| Find all providers in PLANO | ||||
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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.