Dr. Michael Lewis Gordon , DMD
Dentist - Pediatric Dentistry • Cincinnati, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Gordon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Michael Gordon, DMD was a registered Dentist - Pediatric Dentistry practicing in Cincinnati, OH. Throughout an active medical career spanning 1 years, Dr. Gordon provided care at the practice location at 3544 SPRINGDALE RD until profile deactivation on 2006-03-17.
Practice Location & Contact Primary Location
3544 Springdale Rd
Cincinnati, OH 452511331
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Pediatric Dentistry in Cincinnati, OH
Practicing in Cincinnati, OH (331 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223P0221X
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 3544 SPRINGDALE RD, CINCINNATI, OH 452511331 (Tel: 5133856555)
Registered at 3544 SPRINGDALE RD, CINCINNATI, OH 452511331 (Tel: 5133856555)
Recorded as MICHAEL GORDON, D.M.D.
Dentist (License #30014084 in OH)
Record officially reactivated for active practice on April 03, 2006
Record deactivated on March 17, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3544 Springdale Rd
Cincinnati, OH 452511331
Phone: 5133856555
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