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Deactivated NPI 1871548941 Deactivated / Inactive NPI Male Practitioner

Dr. Herbert P Gordon , DDS, PhD

Dentist - General Practice • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Herbert Gordon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Herbert Gordon, DDS, PhD was a registered Dentist - General Practice practicing in Seattle, WA. Throughout an active medical career spanning 16 years, Dr. Gordon provided care at the practice location at 2111 N NORTHGATE until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

2111 N Northgate
Ste 221

Seattle, WA 98133

Telephone 2063638240
Fax 2063638301
Associated Practice Facility / Clinic
🏢 Jason Pehling Dds Ms Pc Facility NPI 1376598847

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, WA (3345 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 WA DE00004705

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

3 Associated Practitioners
Akanksha Gupta , BDS

Dentist - Orofacial Pain

NPI 1356774954
Joe Rodin , LMP

Mechanotherapist

NPI 1538322292

Licensed Massage Practitioner

Dr. Jason Pehling , DDS, MS

Dentist - General Practice

NPI 1962457036

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2111 N NORTHGATE, STE 221, SEATTLE, WA 98133 (Tel: 2063638240)

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Updated Business Mailing Address July 08, 2007

Registered at 2111 N NORTHGATE, STE 221, SEATTLE, WA 98133 (Tel: 2063638240)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HERBERT GORDON, DDS, PHD

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

Dentist (License #DE00004705 in WA)

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Initial NPI Registration & Enumeration May 24, 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: 1871548941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

2111 N Northgate, Ste 221

Seattle, WA 98133

Phone: 2063638240

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.