Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark J Gordon, DDS

Individual provider Dentist · NPI 1386643740

Mark J Gordon, DDS is a Dentist in Prairie Village, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2005.

Licensed in
KS, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4121 W 83rd St Ste 212
Prairie Village, KS 66208-5300
Phone: (913) 649-4042
Fax: (913) 649-8898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5900 (KS)
Dentist Taxonomy 122300000X · Licence 013474 (MO)

Record details

NPI number1386643740
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESJuly 13, 2026

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