Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184704587 Individual Practitioner Female Practitioner

Dr. Kathleen Ann Gordon , DDS

Dentist - General Practice • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Gordon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Riverside, CA. Practice services are available at 4515 CENTRAL AVE STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4515 Central Ave Ste 103

Riverside, CA 925062374

Telephone 9516820042
Fax 9516820043

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
186 Specialists

Practicing in Riverside, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 42655

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1174672042

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4515 CENTRAL AVE STE 103, RIVERSIDE, CA 925062374 (Tel: 9516820042)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3955 RICE RD, RIVERSIDE, CA 925060143 (Tel: 9516820042)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KATHLEEN GORDON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #42655 in CA)

🟢
Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184704587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3955 Rice Rd

Riverside, CA 925060143

Phone: 9516820042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.