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

Jared William Gordon, DMD

Individual provider Dentist · NPI 1902596570

Jared William Gordon, DMD is a Dentist in Catoosa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2036 S Miller Ln Ste B
Catoosa, OK 74015-1539
Phone: (918) 937-7660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7746 (OK)

Record details

NPI number1902596570
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address910 E Gary Pl, Broken Arrow, OK 74012-7784

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