Dr Ryan Lee Gordon, DDS MS - Medicare Dentist in Richfield, MN

Dr Ryan Lee Gordon, DDS MS is a medicare enrolled "Dentist - Endodontics" provider in Richfield, Minnesota. His current practice location is 6601 Lyndale Ave S, Suite 230 Woodlake Centre, Richfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 638-1224.

Dr Ryan Lee Gordon is licensed to practice in Minnesota (license number D11620) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316997240.

Contact Information

Dr Ryan Lee Gordon, DDS MS
6601 Lyndale Ave S, Suite 230 Woodlake Centre,
Richfield, MN 55423
(612) 638-1224
(612) 638-1232



Healthcare Provider's Profile

Full NameDr Ryan Lee Gordon
GenderMale
SpecialityDentist - Endodontics
Location6601 Lyndale Ave S, Richfield, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316997240
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3870807415
  • Enrollment ID: I20160323000207

Medical Identifiers

Medical identifiers for Dr Ryan Lee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316997240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics D11620 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Lee Gordon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ryan Lee Gordon, DDS MS
Po Box 23029,
Richfield, MN 55423

Ph: (612) 861-9123
Dr Ryan Lee Gordon, DDS MS
6601 Lyndale Ave S, Suite 230 Woodlake Centre,
Richfield, MN 55423

Ph: (612) 638-1224

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› Verified 4 days ago


Dentist in Richfield, MN

Dr. Rebecca Leigh Benson, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 6601 Lyndale Ave S, Richfield, MN 55423
Phone: 612-866-1234    
Dr. Mark Joseph Johnson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 98 W 66th St, Richfield, MN 55423
Phone: 612-866-1005    Fax: 612-866-7805
Krista Jean Koehler, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6411 Richfield Pkwy, Richfield, MN 55423
Phone: 612-869-3440    
Dr. Helen Haewon Kim, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6601 Lyndale Ave. S. Suite 230, Richfield, MN 55423
Phone: 612-866-1234    Fax: 612-638-1232
Dr. Micah Chan, D.M.D., M.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 6601 Lyndale Ave S, Richfield, MN 55423
Phone: 612-243-9357    
Dr. Wallace Earl Lunden Iii, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1404 East 66th Street, Richfield, MN 55423
Phone: 612-866-9622    Fax: 612-866-3877
Hugh John Murdoch, DDS MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6519 Nicollet Avenue South, Suite 304, Richfield, MN 55423
Phone: 612-866-9900    Fax: 612-866-9362

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