Brandon Alexander Gordon in Ferndale - General Practice

Brandon Alexander Gordon - NPI 1417148271

Brandon Alexander Gordon is a General Practice in Ferndale, Michigan. Brandon Alexander Gordon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brandon Alexander Gordon is 1417148271. The last update date is 2011-12-12.

Brandon Alexander Gordon's current location address is 1010 Livernois St, Ferndale, Michigan. You can contact this provider via phone number 2485451586 and fax number 2485451582. The mailing address for Brandon Alexander Gordon is 1010 Livernois St, Ferndale, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Brandon Alexander Gordon
Address 1010 Livernois St, Ferndale, Michigan
Phone Number 2485451586
Fax Number 2485451582
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1417148271
Provider Enumeration Date 2007-08-07
Last Updated Date 2011-12-12

Provider Mailing Address Detail

Address 1010 Livernois St
City Ferndale
State Michigan (MI)
Post Code 482203347
Phone Number 2485451586
Fax Number 2485451582

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2901019671
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Brandon Alexander Gordon

What is the unique identifier code issued to Brandon Alexander Gordon by the Centers for Medicare & Medicaid Services (CMS)?

The Brandon Alexander Gordon has been assigned the NPI (National Provider Identifier) 1417148271. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Brandon Alexander Gordon is physically located?

The Brandon Alexander Gordon is physically situated at the following address: 1010 Livernois St, Ferndale, MI, 482203347.

What is Brandon Alexander Gordon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Brandon Alexander Gordon is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did Brandon Alexander Gordon receive its 1417148271 assignment from the Centers for Medicare & Medicaid Services?

The Brandon Alexander Gordon was assigned its 1417148271 on 2007-08-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Brandon Alexander Gordon's details last updated?

The information pertaining to the Brandon Alexander Gordon, including its address, specialty, and other details, was most recently updated on 2011-12-12.

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