Individual
DR. JOHN ROBERT GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5901 NW 63RD TER, SUITE150, KANSAS CITY, MO 64151-3319
(816) 505-2222
(816) 505-1337
Mailing address
5901 NW 63RD TER, SUITE150, KANSAS CITY, MO 64151-3319
(816) 505-2222
(816) 505-1337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12906
MO
Other
Enumeration date
04/02/2007
Last updated
12/22/2016
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