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

Petra Gordon DMD PLLC

Organization Dentist · NPI 1154708097

Petra Gordon DMD PLLC is a Dentist in Brooksville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

609 Lamar Ave
Brooksville, FL 34601-3211
Phone: (352) 796-2034
Fax: (888) 581-9789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN 17627 (FL)

Record details

NPI number1154708097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Petra Lee — Owner · (352) 796-2034
NPI enumeratedApril 29, 2015
Last updated in NPPESApril 29, 2015
Mailing address609 Lamar Ave, Brooksville, FL 34601-3211

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