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DR. PHILLIP BRANDON GORDON DMD
NPI 1942833595
Dentist - Pediatric Dentistry in Statesboro, GA

Active since February 21, 2020
123 HILL POND LN, STATESBORO, GA 30458(912) 402-5437 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Aug 10, 2020, Feb 21, 2020 (3 updates tracked since 2020).

About Dr. Phillip Brandon Gordon Dmd NPPES

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

DR. PHILLIP BRANDON GORDON DMD (NPI 1942833595) is an individual pediatric dentistry provider in Statesboro, Georgia, licensed in Georgia (DN016102) and active in the NPI registry since February 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942833595
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. PHILLIP BRANDON GORDONCredential: DMD
Location Address123 HILL POND LNStatesboro, GA 30458-0872
Mailing Address2128 Gary StAugusta, GA 30904-3573 · (478) 501-3199
Phone(912) 402-5437
Sole ProprietorYes
Enumeration DateFebruary 21, 2020
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1942833595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN016102
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DN016102 (GA)
123 HILL POND LN, Statesboro, GA 30458
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Secondary Practice Locations 2

Location 1100 Blue Moon Xing Ste 105Pooler, GA 31322-9809 · Phone (912) 200-8841
Location 24849 Paulsen St Ste 101Savannah, GA 31405-4424 · Phone (912) 298-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

DOGWOOD PEDIATRIC DENTISTRY OF STATESBORO, LLC
Dentist (Pediatric Dentistry)
123 HILL POND LN
STATESBORO, GA 30458
Bulloch County (912) 402-5437

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 Phillip Gordon's NPI number?

The NPI number for Phillip Gordon is 1942833595. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Phillip Gordon located?

Phillip Gordon practices at 123 Hill Pond Ln, Statesboro, GA 30458. The listed phone number is (912) 402-5437.

What is Phillip Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Phillip Gordon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Phillip Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Gordon was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.