1. Home
  2. Directory
  3. Kansas
  4. Leawood
  5. Dentist
  6. NPI Profile

PHILIP J GORDON DDS PA
NPI 1396362638
Dentist - Oral and Maxillofacial Surgery in Leawood, KS

Active since July 02, 2020
3628 W 95TH ST, LEAWOOD, KS 66206(913) 649-5017(913) 661-7186 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip J Gordon Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP J GORDON DDS PA (NPI 1396362638) is a healthcare organization registered as an oral and maxillofacial surgery in Leawood, Kansas and active in the NPI registry since July 2020. The organization lists Philip Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1396362638
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePHILIP J GORDON DDS PA
Location Address3628 W 95TH STLeawood, KS 66206-2035
Mailing Address3628 W 95th StLeawood, KS 66206-2035 · (913) 649-5017 · Fax (913) 661-7186
Phone(913) 649-5017
Fax(913) 661-7186
Organization SubpartNo
Authorized OfficialPhilip GordonOwner · (913) 649-5017
Enumeration DateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
✔ NPI 1396362638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3628 W 95TH ST, Leawood, KS 66206
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip J Gordon Dds PA's NPI number?

The NPI number for Philip J Gordon Dds PA is 1396362638. It was assigned to this organization in the NPPES registry on July 2, 2020.

Where is Philip J Gordon Dds PA located?

Philip J Gordon Dds PA is located at 3628 W 95th St, Leawood, KS 66206. The listed phone number is (913) 649-5017.

What is Philip J Gordon Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Philip J Gordon Dds PA was last updated on July 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.