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Dr. Amani Kasumi Gordon , DDS

Dentist β€’ Brookhaven, GA

Active NPI 1548960438 Individual Practitioner Female Practitioner
Practice location in NPPES

1441 Dresden Dr Ne
Brookhaven, GA 303193581

Call 4042541128 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1441 Dresden Dr Ne

Brookhaven, GA 303193581

Telephone 4042541128
Organization at the Same NPPES Address or Phone
Mcnumb Dental Pc Facility NPI 1023653557

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Brookhaven and Georgia

6 active clinicians are listed under Dentist with a practice address in Brookhaven, GA (2,056 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES GA DN124296

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Dalton Sircy , DMD

Dentist - General Practice

NPI 1548008477

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 30, 2026

Registered at 1441 DRESDEN DR NE, BROOKHAVEN, GA 303193581 (Tel: 4042541128)

πŸ“
Updated Business Mailing Address July 30, 2026

Registered at 1441 DRESDEN DR NE, BROOKHAVEN, GA 303193581 (Tel: 2123056100)

πŸ‘€
Provider Name / Credentials Updated July 30, 2026

Recorded as AMANI GORDON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2026

Dentist (license number reported to NPPES: GA DN124296)

βœ…
NPI Profile Active March 08, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 08, 2023

Registered at 622 W 168TH ST, NEW YORK, NY 100323720 (Tel: 2123056100)

πŸ“
Business Mailing Address (Initial Record) March 08, 2023

Registered at 622 W 168TH ST, NEW YORK, NY 100323720 (Tel: 2123056100)

πŸ‘€
Provider Name / Credentials (Initial Record) March 08, 2023

Recorded as AMANI GORDON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 08, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548960438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2023
Last Update: July 30, 2026
Sole Proprietor: No

Other Dentists in Brookhaven

Healthcare providers in Brookhaven

Mailing Address

1441 Dresden Dr Ne

Brookhaven, GA 303193581

Phone: 2123056100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.