Michael Jay Gordon in Fayetteville - General Practice
Michael Jay Gordon - NPI 1114072345
Michael Jay Gordon is a General Practice in Fayetteville, North Carolina. Michael Jay Gordon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Jay Gordon is 1114072345. The last update date is 2007-07-08.
Michael Jay Gordon's current location address is 4325 Norwick Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9103238899. The mailing address for Michael Jay Gordon is 4325 Norwick Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Jay Gordon |
---|---|
Address | 4325 Norwick Dr, Fayetteville, North Carolina |
Phone Number | 9103238899 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1114072345 |
---|---|
Provider Enumeration Date | 2007-01-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4325 Norwick Dr |
---|---|
City | Fayetteville |
State | North Carolina (NC) |
Post Code | 283142531 |
Phone Number | 9103238899 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 1223G0001X |
Licence No | 5492 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
805329 | NC | UCCI | |
5492 | NC | DELTA RETIRED |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Jay Gordon?
The Michael Jay Gordon has been issued the NPI (National Provider Identifier) 1114072345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Michael Jay Gordon is geographically located?
The Michael Jay Gordon is physically situated at the following location: 4325 Norwick Dr, Fayetteville, NC, 283142531.
What is the Michael Jay Gordon's area of specialization and corresponding taxonomy classification?
The Michael Jay Gordon's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did Michael Jay Gordon receive its 1114072345 assignment?
The Michael Jay Gordon was assigned its 1114072345 on 2007-01-25, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael Jay Gordon's details last updated?
The information pertaining to the Michael Jay Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL