Search › Georgia › 1223P0221X
Phillip Gordon, DMD
NPI 1942833595 · on the registry since 2020 · sole proprietor
Practice
- Address
- 123 Hill Pond Ln
Statesboro, GA 30458 - Phone
- (912) 402-5437
- Organisation at this address
- Dogwood Pediatric Dentistry Of Statesboro, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 4849 Paulsen St Ste 101, Savannah, GA
- 100 Blue Moon Xing Ste 105, Pooler, GA
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 390200000X
390200000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia