DR. GORDON CARL CHARLTON (NPI# 1215075064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215075064 |
| Entity Type | Individual |
| Full Name | DR. GORDON CARL CHARLTON |
| Credential | DDS |
| Practice Address |
5013 St Clair Hwy China Township MI 48054 |
| Practice Telephone | 8103296655 |
| Practice Fax Number | 8103296687 |
| Mailing Telephone | 8103296655 |
| Mailing Fax Number | 8103296687 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901016966 | MI | Dental Providers |
| Street Address |
5013 ST CLAIR HWY |
| City | CHINA TOWNSHIP |
| State | MI |
| Zip Code | 48054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417091141 | China Township Family Dentistry | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075178 | Melissa Lynn Wilson | Behavior Technician | 5104 King Rd, China, MI 48054 | 2020-02-20 |
| 1427400605 | Morgan Conlon Scallen | Technician, Other | 5494 St. Clair Hwy., China Twp., MI 48054 | 2016-07-12 |
| 1639586910 | Jessica Scholey | Obstetrics & Gynecology | 4150 River Rd., Suite D, East China, MI 48054 | 2014-07-17 |
| 1164431060 | Juan J Geldres | Surgery | 40140 S River Rd, Suite 3b, East China, MI 48054 | 2006-08-07 |
| 1861415754 | Thomas Gordon Wayne | Family Medicine | 4150 S River Rd, Ste F1, East China, MI 48054 | 2006-07-25 |
| 1588634620 | Cory D Zieger | Orthopaedic Surgery | 4150 River Rd Ste C, East China, MI 48054 | 2006-01-23 |
| 1831194992 | Kenneth Son | Internal Medicine | 4100 River Rd, Acute Care Dept., East China, MI 48054 | 2005-06-16 |
| 1699136218 | Marie Elizabeth Teschler | Nurse Practitioner | 4014 River Rd, East China, MI 48054 | 2016-03-09 |
| 1184055394 | St. Clair Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 4154 S River Rd, East China, MI 48054 | 2013-12-13 |
| 1093820532 | Randall Peter Kamlay | Optometrist | 4050 River Rd, East China, MI 48054 | 2006-08-21 |
| Find all providers in zip 48054 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417091141 | China Township Family Dentistry | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700986 | Lake Orion Family Dentistry | Dentist | 1320 S Lapeer Rd, Lake Orion, MI 48360-1435 | 2020-11-05 |
| 1093315202 | Peninsula Family Dentistry, PC | Dentist | 3210 Us 41 W, Marquette, MI 49855-9483 | 2020-10-27 |
| 1437758398 | Pristine Dental Care | Dentist | 3021 E Walton Blvd, Auburn Hills, MI 48326-2368 | 2020-10-21 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1457968133 | Norman Family Dentistry PC | Dentist | 519 Ada Dr Se Ste A, Ada, MI 49301-9069 | 2020-09-28 |
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1164037362 | David Posada | Dentist | 1326 Marion Ave, Lincoln Park, MI 48146-2090 | 2020-09-14 |
| 1144835059 | Chelsea Anthony | Dentist | 23207 Norcrest Dr, Saint Clair Shores, MI 48080-2586 | 2020-09-09 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CHINA TOWNSHIP |
| Zip Code | 48054 |
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| 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.