Gordon F McCammon, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS2479 Issued in TN

Practice address

3515 Old Clarksville Pike
Joelton, TN 37080-8892

Phone

(615) 876-0084

Fax

(615) 847-1127

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285702480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "3515 OLD CLARKSVILLE PKE",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370800127",
            "telephone_number": "615-876-0084",
            "fax_number": "615-847-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 OLD CLARKSVILLE PIKE",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808892",
            "telephone_number": "615-876-0084",
            "fax_number": "615-847-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMMON",
        "first_name": "GORDON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blakely Nichelle Forrest, LMFT
• Kelly Juanita Fussman, MS, CCC-SLP
• Katie Hickerson, PHARMD
• Kejuanis Hughes
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• Mountain Crest Chiropractic
• Ujwalkumar B Panhalkar, B.PHARM , M.PHARM
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• Rebecca Womack
• Rnlife Lab and Wellness

• General Practice Dentistry in Joelton, TN
• Providers in Joelton, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.