Dr Jeffrey H Gordon I, DMD - Dentist in Park City, UT

Dr Jeffrey H Gordon I, DMD is a Dentist - General Practice based in Park City, Utah. Dr Jeffrey H Gordon I is licensed to practice in Utah (license number 6377731) and his current practice location is 1764 Uinta Way Ste E1, Park City, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 647-3012.

NPI number for Dr Jeffrey H Gordon I is 1285713263 and his current mailing address is 1764 Uinta Way Ste E1, Park City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285713263.

Contact Information

Dr Jeffrey H Gordon I, DMD
1764 Uinta Way Ste E1,
Park City, UT 84098-7674
(435) 647-3012
(435) 645-9873

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeffrey H Gordon I
GenderMale
SpecialityDentist - General Practice
Location1764 Uinta Way Ste E1, Park City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285713263
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 07/30/2019

Medical Identifiers

Medical identifiers for Dr Jeffrey H Gordon I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285713263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DN0011082 (Florida)Secondary
1223G0001XDentist - General Practice 6377731 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey H Gordon I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jeffrey H Gordon I, DMD
1764 Uinta Way Ste E1,
Park City, UT 84098-7674

Ph: (435) 647-3012
Dr Jeffrey H Gordon I, DMD
1764 Uinta Way Ste E1,
Park City, UT 84098-7674

Ph: (435) 647-3012

Reviews and Comments


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Phone: 435-647-3012    Fax: 435-645-9873
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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