IndividualActive
Brandon Gordon, DDS
NPI 1992968804 · Dentist · Idaho Falls, ID
Provider details
- NPI number
- 1992968804
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6655977-9922 (UT)
Mailing address
7186 Sage View Cr
Idaho Falls, ID 83406
Registry dates
- Enumerated
- 2008-07-10
- Last updated
- 2008-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.