Individual
DR. AUSTIN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026033323
MO
122300000X
Dentist
Primary
DS045285
PA
Other
Enumeration date
08/12/2025
Last updated
07/17/2026
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