Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON PHILLIP SMITH, D.D.S.
Active Sole ProprietorDR. GORDON PHILLIP SMITH, D.D.S. is a General Dentistry healthcare provider located in WIXOM, Michigan. NPI 1073516712 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WIXOM, MI
Registration Details
- NPI Number
- 1073516712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2005 (21.261652335031 yrs)
- Last Updated
- Jul 8, 2007
- License
-
013824 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3255 W MAPLE RDWIXOM, MI, 483931820Browse MI providers · Browse ZIP 48393
- Phone
- 2486694141
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WIXOM, MI
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD C. HACKETT | DDS | 1376600478 |
| JOHN BAZZI | DDS | 1942738000 |
| DEVI JANANI VIJAYA RAGHAVAN | — | 1639793805 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.