P Praxis·MD
● Active Type 1 · Individual

DR. Phillip Brandon Gordon, DMD

Dentist·Statesboro, GA· NPI 1942833595 · Enumerated 2020 · 6 years on NPI
Gordon is 1 of 5 dentist providers in Statesboro and 1 of 539 in Georgia.
NPI age
6 years
Enumerated 2020-02-21
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
6 years
↓ 10 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
123 Hill Pond Ln
Statesboro, GA 304580872
📞 9124025437
Mailing address
2128 Gary St
Augusta, GA 309043573
📞 4785013199

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
100 Blue Moon Xing Ste 105
Pooler, GA 313229809
📞 9122008841
Location 3
4849 Paulsen St Ste 101
Savannah, GA 314054424
📞 9122985437

Specialties

  • Dentist Primary
    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.
    GA license #DN016102 taxonomy 1223P0221X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    GA license #DN016102 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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