IndividualActive
Samica Gordon, DDS
NPI 1821989997 · General Practice Dentistry · Liberty Twp, OH
Provider details
- NPI number
- 1821989997
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 30.028124 (OH)
Specialties & taxonomies
Dental Providers
Practice location
5307 Hildenbrand Way
Liberty Twp, OH 45011-3078
Phone: (513) 759-7635
Approximate (ZIP-level) locationGet directions
Mailing address
3065 Granny Smith Ln
Middletown, OH 45044-7955
Registry dates
- Enumerated
- 2025-07-15
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.