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

Dr. Mark Richard Gordon, DDS

Individual provider Periodontics · NPI 1356365126

Dr. Mark Richard Gordon, DDS is a Periodontics in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio and Virginia.

Licensed in
OH, VA
In the registry since
2006
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

305 W 12th Ave
Columbus, OH 43210-1267
Phone: (614) 688-3763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 14332 (OH)
Periodontics Taxonomy 1223P0300X · Licence VA6393 (VA)
Periodontics Taxonomy 1223P0300X · Licence 14432 (OH)

Record details

NPI number1356365126
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESNovember 28, 2020
Certification dateNovember 28, 2020
Mailing address305 W 12th Ave, Columbus, OH 43210-1267

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