Stanley Mark Gordon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN9088 Issued in FL

Practice address

7651 SW St Rd 200
Unit 101
Ocala, FL 34476

Phone

(352) 854-2000

Fax

(352) 854-6509

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stanley M Gordon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stickney Dental, LLC

  dba Stickney Dental

  • General Practice Dentistry
  • Ocala, FL
  • NPI 1942020797
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336211473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 SW ST RD 200",
            "address_2": "UNIT 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34476",
            "telephone_number": "352-854-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 SW ST RD 200",
            "address_2": "UNIT 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34476",
            "telephone_number": "352-854-2000",
            "fax_number": "352-854-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STANLEY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANLEY",
            "last_name": "GORDON",
            "middle_name": "M",
            "credential": "DDS PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sreeja Gopidasan, MD
• Gordon M Johnson Arnp, LLC
• Tunisa Gordon-Donely
• Marcey Gordon
• Regina Gordon, DOULA
• Steven R. Gordon, PT
• Syrillie Gordon
• Undrea Gordon
• Sandra Nadia Gorgy
• Lakshmi Goriparthi, MD

• Dentist in Ocala, FL
• Providers in Ocala, FL by specialty
• Dentist in Florida

• 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.