DR. RANDALL R GORDON DDS, MS
NPI 1851498877
Dentist - Periodontics in Lodi, CA

Q: What is Randall Gordon's NPI number?

The NPI number for Randall Gordon is 1851498877. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Randall Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Randall Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2006

1420 S MILLS AVE, SUITE G, LODI, CA 95242(209) 369-1484(209) 366-0998 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Randall R Gordon Dds, Ms NPPES

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

DR. RANDALL R GORDON DDS, MS (NPI 1851498877) is an individual periodontics provider in Lodi, California, licensed in California (40598) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1851498877

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. RANDALL R GORDONCredential: DDS, MS

Location Address1420 S MILLS AVE, SUITE GLodi, CA 95242-4291

Mailing Address1420 S Mills Ave, Suite GLodi, CA 95242-4291 · (209) 369-1484 · Fax (209) 366-0998

Phone(209) 369-1484

Fax(209) 366-0998

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851498877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 40598

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1420 S MILLS AVE, Lodi, CA 95242

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN CHEUNG DDS

Clinic/Center (Dental)

1420 S MILLS AVE
LODI, CA 95242

San Joaquin County (530) 219-8754

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 Randall Gordon's NPI number?

The NPI number for Randall Gordon is 1851498877. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Randall Gordon located?

Randall Gordon practices at 1420 S Mills Ave Suite G, Lodi, CA 95242. The listed phone number is (209) 369-1484.

What is Randall Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Randall Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.