IndividualActive
Leo Gordon, DDS
NPI 1073593497 · General Practice Dentistry · Weimar, TX
Provider details
- NPI number
- 1073593497
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- License
- TX15621 (TX)
Specialties & taxonomies
Dental Providers
Practice location
503 E Main St
Weimar, TX 78962
Phone: (979) 725-8562
Fax: (979) 725-6822
Approximate (ZIP-level) locationGet directions
Mailing address
503 E Main St
Weimar, TX 78962
Registry dates
- Enumerated
- 2006-01-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.