IndividualActive
Richard Gordon, DMD
NPI 1659314128 · Oral and Maxillofacial Surgery (Dentist) · Johnston, RI
Provider details
- NPI number
- 1659314128
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- License
- DNT1823 (RI)
Specialties & taxonomies
Dental Providers
Practice location
1524 Atwood Ave
Suite #137
Johnston, RI 02919-3228
Phone: (401) 751-8029
Fax: (401) 751-0266
Approximate (ZIP-level) locationGet directions
Mailing address
1524 Atwood Ave
Johnston, RI 02919-3228
Registry dates
- Enumerated
- 2006-06-13
- 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.