OrganizationActive
Petra Gordon DMD PLLC
NPI 1154708097 · Dentist · Brooksville, FL
Petra Gordon DMD PLLC is a Dentist organization in Brooksville, FL (NPI 1154708097).
Provider details
- NPI number
- 1154708097
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Petra Lee, Owner(352) 796-2034
- License
- DN 17627 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
609 Lamar Ave
Brooksville, FL 34601-3211
Phone: (352) 796-2034
Fax: (888) 581-9789
Street-level locationGet directions
Mailing address
609 Lamar Ave
Brooksville, FL 34601-3211
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2015-04-29
Frequently asked questions
- What is Petra Gordon DMD PLLC's NPI number?
- Petra Gordon DMD PLLC's National Provider Identifier (NPI) is 1154708097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petra Gordon DMD PLLC?
- Petra Gordon DMD PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Petra Gordon DMD PLLC located?
- Petra Gordon DMD PLLC's practice location on file with NPPES is 609 Lamar Ave, Brooksville, FL 34601-3211.
- What is Petra Gordon DMD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Petra Gordon DMD PLLC is (352) 796-2034.
- Who is the authorized official for Petra Gordon DMD PLLC?
- The authorized official listed on Petra Gordon DMD PLLC's NPPES record is Petra Lee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petra Gordon DMD PLLC's NPI active?
- Yes — Petra Gordon DMD PLLC's NPI (1154708097) is active in the NPPES registry as of the last update on 2015-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.