Active NPI 1497383319 Individual Practitioner Male Practitioner

Christopher Michael Gordon

Dentist - Pediatric Dentistry • Coventry, RI

Professional Overview & Biography Verified Profile Summary

Christopher Gordon is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Coventry, RI. Practice services are available at 840 TIOGUE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

840 Tiogue Ave

Coventry, RI 028162900

Telephone 4018281171

Associated Practice Facility / Clinic

🏢 Gordon Orthodontics, Inc. Facility NPI 1104073246

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Coventry, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Coventry, RI (31 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: 2022-06-08

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License MA DN1859344

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License RI DEN03596

Secondary Practice Locations

2475 Broadway Bluffs Dr Ste 200

Columbia, MO 652018147

Phone: 5737779282

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. William Gordon , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1730152182

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 20, 2022

Registered at 840 TIOGUE AVE, COVENTRY, RI 028162900 (Tel: 4018281171)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2022

Dentist (License #DEN03596 in RI)

✅

NPI Profile Active March 27, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2020

Registered at 2475 BROADWAY BLUFFS DR STE 200, COLUMBIA, MO 652018147 (Tel: 5737779282)

📍

Updated Business Mailing Address March 27, 2020

Registered at 115 PLEASANT ST, NORTH KINGSTOWN, RI 028525047

👤

Provider Name / Credentials Updated March 27, 2020

Recorded as CHRISTOPHER GORDON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2020

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 27, 2020

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: 1497383319

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 27, 2020

Last Update: June 20, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

115 Pleasant St

North Kingstown, RI 028525047

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.