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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL LEWIS GORDON, D.M.D.

Deactivated

DR. MICHAEL LEWIS GORDON, D.M.D. is a Pediatric Dentistry healthcare provider located in CINCINNATI, Ohio. NPI 1407851702 is deactivated in the NPPES registry. Verify at CMS.

Pediatric Dentistry · CINCINNATI, OH

This NPI has been deactivated. The record was deactivated on March 17, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1407851702
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2005 (0.75342465753425 yrs)
Last Updated
Jul 8, 2007
Deactivated
Mar 17, 2006
License
30014084 (OH)

Practice Information

Address
3544 SPRINGDALE RD
CINCINNATI, OH, 452511331
Browse OH providers · Browse ZIP 45251
Phone
5133856555
Fax
5133852833
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in CINCINNATI, OH

Name Credential NPI
DR. JOHN A GENNANTONIO D.D.S. 1093701245
DR. SARAT THIKKURISSY DDS, MS 1922095181
MARIE R CALLEN D.M.D 1275587545
CINDY R PONG D.D.S. 1811941966
WILLIAM A GREENHILL D.M.D. 1760436711
JAMES F STEINER D.D.S. 1174577134
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.