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

Mariah Gordon

Individual provider Dentist · NPI 1588410294

Mariah Gordon is a Dentist in Kirtland AFB, New Mexico. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2024

Practice location Address checks out

2050A 2nd St SE
Kirtland AFB, NM 87117-5901
Phone: (505) 846-3200
Show map & directions

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

Additional practice locations (1)

  • 2501 Capehart Rd, Offutt Afb, NE 68113-1043 — (402) 294-5712

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DB-2024-0164 (NM)

Record details

NPI number1588410294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 24, 2024
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Other providers in Kirtland AFB