Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548960438 Individual Practitioner Female Practitioner

Dr. Amani Kasumi Gordon , DDS

Dentist • Brookhaven, GA

Professional Overview & Biography Verified Profile Summary

Dr. Amani Gordon, DDS is a registered healthcare professional specializing in Dentist in Brookhaven, GA. Practice services are available at 1441 DRESDEN DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1441 Dresden Dr Ne

Brookhaven, GA 303193581

Telephone 4042541128
Associated Practice Facility / Clinic
🏢 Mcnumb Dental Pc Facility NPI 1023653557

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Brookhaven, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Brookhaven, GA (2164 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

CMS Verified: 2026-07-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN124296

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Dalton Sircy , DMD

Dentist - General Practice

NPI 1548008477

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 30, 2026

Registered at 1441 DRESDEN DR NE, BROOKHAVEN, GA 303193581 (Tel: 4042541128)

📍
Updated Business Mailing Address July 30, 2026

Registered at 1441 DRESDEN DR NE, BROOKHAVEN, GA 303193581 (Tel: 2123056100)

👤
Provider Name / Credentials Updated July 30, 2026

Recorded as AMANI GORDON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2026

Dentist (License #DN124296 in GA)

NPI Profile Active March 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2023

Registered at 622 W 168TH ST, NEW YORK, NY 100323720 (Tel: 2123056100)

📍
Updated Business Mailing Address March 08, 2023

Registered at 622 W 168TH ST, NEW YORK, NY 100323720 (Tel: 2123056100)

👤
Provider Name / Credentials Updated March 08, 2023

Recorded as AMANI GORDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 08, 2023

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: 1548960438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2023
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

1441 Dresden Dr Ne

Brookhaven, GA 303193581

Phone: 2123056100

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.