Brian Keith Gordon is a Portsmouth, Virginia based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Brian Keith Gordon is 12315200-9921 for Dentistry in Utah. His current practice location is 620 John Paul Jones Cir Ste 275, Portsmouth. Patients can reach him at 757-953-7550.
Brian Keith Gordon is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Brian Keith Gordon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Brian Keith Gordon
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
620 John Paul Jones Cir Ste 275, Portsmouth, Virginia, 23708-2197
Phone:
757-953-7550
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134792666
NPI Enumeration Date:
22 Jul, 2021
NPI Last Update On:
23 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian Keith Gordon are as mentioned below.
License Number
Specialization
State
Status
12315200-9921
Dentistry
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Brian Keith Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12315200-9921
Other
Utah
DENTAL LICENSE
0401419116
Other
Virginia
DENTAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2054 W 1600 N, Provo, Utah
Zip:
84604-2282
Phone Number:
801-636-1616
Patients can reach Brian Keith Gordon at 620 John Paul Jones Cir Ste 275, Portsmouth, Virginia or can call to book an appointment on 757-953-7550. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.