Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821042433 Individual Practitioner Male Practitioner

Dr. Michael Edward Gordon , DDS

Dentist - General Practice • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gordon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Evanston, IL. Practice services are available at 635 CHICAGO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

635 Chicago Ave

Evanston, IL 60202

Telephone 8474910880
Fax 8474910014
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1972518108

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
61 Specialists

Practicing in Evanston, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 1916382

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. William Gordon , DDS

Dentist - General Practice

NPI 1497169882

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2015

Registered at 635 CHICAGO AVE, EVANSTON, IL 60202 (Tel: 8474910880)

📍
Updated Business Mailing Address December 02, 2015

Registered at 1841 W 47TH ST, CHICAGO, IL 606093844 (Tel: 8474910880)

👤
Provider Name / Credentials Updated December 02, 2015

Recorded as MICHAEL GORDON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2015

Dentist (License #1916382 in IL)

🟢
Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821042433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: December 02, 2015
Sole Proprietor: Yes

Mailing Address

1841 W 47th St

Chicago, IL 606093844

Phone: 8474910880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.