Michael A. Gordon, Dds, Pc | |
829 Main St Schererville IN 46375-1100 | |
(219) 322-1929 | |
Not Available |
Full Name | Michael A. Gordon, Dds, Pc |
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Speciality | Dentist - General Practice |
Location | 829 Main St, Schererville, Indiana |
Authorized Official Name and Position | Michael Anthony Gordon (PRESIDENT) |
Authorized Official Contact | 2193221929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael A. Gordon, Dds, Pc 829 Main St Schererville IN 46375-1100 Ph: (219) 322-1929 | Michael A. Gordon, Dds, Pc 829 Main St Schererville IN 46375-1100 Ph: (219) 322-1929 |
NPI Number | 1366558546 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 12/04/2020 |
Identifier | Type | State | Issuer |
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1366558546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 54001287A (Indiana) | Primary |
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