Individual
DR. PHILLIP BRANDON GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
123 HILL POND LN, STATESBORO, GA 30458-0872
(912) 402-5437
Mailing address
2128 GARY ST, AUGUSTA, GA 30904-3573
(478) 501-3199
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN016102
GA
390200000X
Student in an Organized Health Care Education/Training Program
DN016102
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2020
Last updated
07/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us