# MATHEW CHARLES GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265591382
- **Gender:** Man
- **Credential:** M.D. D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16834 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | K6594 | TX | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 07/09/2007