Samica Gordon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.028124 Issued in OH

Practice address

5307 Hildenbrand Way
Liberty TWP, OH 45011-3078

Phone

(513) 759-7635

NPI assigned

Jul 15, 2025

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Dr. Erik Snell Dentistry Evolved LLC

  • General Practice Dentistry
  • Liberty Townshp, OH
  • NPI 1649727876
  NPD

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1821989997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 GRANNY SMITH LN",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450447955",
            "telephone_number": "513-306-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 HILDENBRAND WAY",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450113078",
            "telephone_number": "513-759-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SAMICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.028124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Geis
• Mark Geis
• Glimpse of a Dragonfly
• Glo Healthcare Services
• Maggie Goode, AUD
• Graceful Care & Wellness LLC
• Graceful Cargivers Solution, Inc
• Graceworks Enhanced Living
• Graceworks Enhanced Living
• Graceworks Enhanced Living

• General Practice Dentistry in Liberty TWP, OH
• Providers in Liberty TWP, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.