Jared William Gordon, DMD

NPI #1902596570 in Catoosa, Oklahoma

Provider Information

NPI Number: 1902596570
Entity Type: Individual
Name: Jared William Gordon, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 8, 2023
Last Updated: May 8, 2023

Practice Location

Address: 2036 S MILLER LN STE B
City: Catoosa
State: Oklahoma
ZIP Code: 74015-1539
Phone: (918) 937-7660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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