NPI

Gordon Soule Kilmer

NPI 1518055292

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
DDS, MS
Type
Individual
Enumeration date
2006-10-10
Last updated
2007-07-08

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Specialties

Licenses

License CA
43614

Location

Practice location
4980 Barranca Pkwy, Suite 200
City
Irvine CA
Postal code
92604-8645
Phone
(949) 551-6913

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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