DR. STEPHANIE GORDON (NPI# 1386121366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386121366 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE GORDON |
| Credential | DDS |
| Practice Address |
736 E Oak St Oakland MD 21550-1615 |
| Mailing Address |
1385 Sanders Ln Oakland MD 21550-7435 |
| Practice Telephone | 3013349288 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16578 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970968 | Stephanie Gordon | Specialist/Technologist | 198 Heather Dr, Central, SC 29630-9308 | 2014-07-17 |
| 1619309945 | Stephanie Jean Gordon | Acupuncturist | 410 Wabash St, Michigan City, IN 46360-3334 | 2013-08-09 |
| 1629376835 | Stephanie Vicky Gordon | Massage Therapist | 2874 Shelby St, Suite 108, Bartlett, TN 38134-4579 | 2011-03-11 |
| 1750516159 | Stephanie Spurlock Gordon | Dental Hygienist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2009-05-29 |
| 1366564288 | Stephanie Ward Gordon | Pharmacist | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2007-04-03 |
| 1407849722 | Stephanie H Gordon | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2005-08-23 |
| 1356864110 | Stephanie Christine Gordon | Licensed Practical Nurse | 2216 20th St, Zion, IL 60099-1648 | 2017-07-24 |
| 1174992127 | Stephanie Gordon | Advanced Practice Midwife | 611 W Park St, Urbana, IL 61801-2529 | 2015-09-21 |
| 1003234840 | Stephanie Gordon | Social Worker | 1900 S Acadian Thruway, Baton Rouge, LA 70808-1665 | 2014-03-30 |
| 1841500840 | Stephanie Marie Gordon | Behavioral Analyst | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2010-10-12 |
| Street Address |
736 E OAK ST |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538261961 | George Fred Hazelwood IIi | Dentist | 736 E Oak St, Oakland, MD 21550-1615 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253383 | Caroline Kim | Dentist | 1833 Brandon St, Oakland, CA 94611-4306 | 2020-07-24 |
| 1043879653 | Lawrence Wong | Dentist | 3300 Webster St Ste 907, Oakland, CA 94609-3156 | 2019-06-07 |
| 1013480169 | Cynthia L. Cox, D.d.s., Inc. | Dentist | 485 34th St Ste 210, Oakland, CA 94609-2823 | 2019-01-10 |
| 1275051575 | Christopher Thomas D.d.s. Inc. | Dentist | 1716 Telegraph Ave, Oakland, CA 94612-2108 | 2017-09-07 |
| 1396273694 | Homero A. Mak Dds, Inc | Dentist | 8105 Edgewater Dr Ste 122, Oakland, CA 94621-2019 | 2017-05-31 |
| 1174060800 | Philip P Chan | Dentist | 1624 Franklin St Ste 910, Oakland, CA 94612-2824 | 2017-01-19 |
| 1780135442 | Vincent Wong, Dds, A Professional Dental Corporation | Dentist | 3320 Webster St, Oakland, CA 94609-3105 | 2016-10-18 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| 1154798866 | Heather Hong Dinh | Dentist | 2007 E 17th St, Oakland, CA 94606-4603 | 2015-08-28 |
| 1396121828 | Oakland Eco Dental | Dentist | 2838 Summit St, Oakland, CA 94609-3605 | 2015-08-06 |
| Find all providers in OAKLAND | ||||
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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.