DR. GORDON PHILLIP SMITH (NPI# 1073516712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073516712 |
| Entity Type | Individual |
| Full Name | DR. GORDON PHILLIP SMITH |
| Credential | D.D.S. |
| Practice Address |
3255 W Maple Rd Wixom MI 48393-1820 |
| Practice Telephone | 2486694141 |
| Mailing Telephone | 2486694141 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
013824 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851484554 | Gordon H. Smith | Ophthalmology | 5401 Norris Canyon Rd Ste 206, San Ramon, CA 94583-5406 | 2006-10-02 |
| 1538250089 | Gordon J Smith | Dentist | 1250 South Federal Hwy 101, Boynton Beach, FL 33435 | 2006-09-28 |
| 1588761886 | Gordon Hilton Smith | Counselor | 4701 Fayetteville Rd, Lumberton, NC 28358-2697 | 2006-09-20 |
| 1235194135 | Gordon Arthur Smith | Military Health Care Provider | Uss Helena Ssn 725, Apo-ap, CA 96667-2405 | 2006-04-20 |
| 1417497454 | Gordon Smith | Pharmacist | 27200 Iris Ave, 1st Floor Pharmacy Mob2, Moreno Valley, CA 92555-4803 | 2017-02-23 |
| 1962831396 | Gordon Smith | Pharmacist | 1008 Center Point Pl, Franklin, TN 37064-5500 | 2013-11-06 |
| 1396893160 | Gordon E Smith | Physical Therapist | 123 Jefferson Davis Blvd, Natchez, MS 39120-5103 | 2007-01-08 |
| 1023187812 | Gordon Fredrick Smith II | Physical Therapist | 2593 Us Highway 2 E, Suite 6, Kalispell, MT 59901-9507 | 2006-11-07 |
| 1255354718 | Gordon L Smith | Internal Medicine | 577 S River Rd, St George, UT 84790-2097 | 2006-07-25 |
| 1043263817 | Gordon Smith | Counselor | 110 Williams St, Hendersonville, NC 28792-4543 | 2006-05-19 |
| Street Address |
3255 W MAPLE RD |
| City | WIXOM |
| State | MI |
| Zip Code | 48393-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063804334 | Facial Beauty Dental, Pllc | Dentist | 3255 W Maple Rd, Wixom, MI 48393-4585 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| Find all providers in zip 48393 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942738000 | John Bazzi | Dentist | 49701 Grand River Ave, Wixom, MI 48393-3307 | 2017-06-01 |
| 1376600478 | Ronald C. Hackett | Dentist | 646 Wixom Road, Wixom, MI 48393-0312 | 2007-01-02 |
| 1063804334 | Facial Beauty Dental, Pllc | Dentist | 3255 W Maple Rd, Wixom, MI 48393-4585 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GORDON PHILLIP SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.