Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619816196 Individual Practitioner Female Practitioner

Caitlin Gordon

Dentist • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Caitlin Gordon is a registered healthcare professional specializing in Dentist in Maywood, IL. Practice services are available at 2160 S 1ST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2160 S 1st Ave

Maywood, IL 601533328

Telephone 8885847888
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Maywood, IL (4751 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: 2026-07-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 018.012563

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

40 Associated Practitioners
Dr. Paige Song , MD

Student in an Organized Health Care Education/Training Program

NPI 1003394743

Doctor of Medicine (M.D.)

NPI 1003492620

Doctor of Osteopathic Medicine (D.O.), Master of Business Administration

Dr. Maryam Sabir , MD

Internal Medicine

NPI 1003510314

Doctor of Medicine (M.D.)

NPI 1003537002

Doctor of Audiology

Dr. Jordan Koczenasz , MD

Internal Medicine

NPI 1003675315

Doctor of Medicine (M.D.)

Dr. Sarah Perkins , MD

Pediatrics - Pediatric Cardiology

NPI 1013173061

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 27, 2026

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328 (Tel: 8885847888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Dentist (License #018.012563 in IL)

NPI Profile Active March 27, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2026

Registered at 515 DELAWARE ST SE, MINNEAPOLIS, MN 554550357 (Tel: 6126255000)

📍
Updated Business Mailing Address March 27, 2026

Registered at 403 7TH ST SW, AUSTIN, MN 559122559

👤
Provider Name / Credentials Updated March 27, 2026

Recorded as CAITLIN GORDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2026

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 2026

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: 1619816196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2026
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

403 7th St Sw

Austin, MN 559122559

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.