Organization
DR MICHAEL J GORDON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY GORDON JR. DDS (PRESIDENT)
(828) 459-1400
Entity
Organization
Contact information
Practice address
311 NC HIGHWAY 16 S, TAYLORSVILLE, NC 28681-3050
(704) 277-2531
Mailing address
311 NC HIGHWAY 16 S, TAYLORSVILLE, NC 28681-3050
(704) 277-2531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9539
NC
1223G0001X
General Practice Dentistry
Primary
9539
NC
Other
Enumeration date
04/21/2017
Last updated
07/27/2017
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