DR. SIGISMUND W GORDON JR. (NPI# 1952525982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952525982 |
| Entity Type | Individual |
| Full Name | DR. SIGISMUND W GORDON JR. |
| Credential | D.D.S. |
| Practice Address |
20905 Greenfield Rd Siute #601 Southfield MI 48075-5360 |
| Practice Telephone | 2485696376 |
| Practice Fax Number | 2485696377 |
| Mailing Telephone | 2485696376 |
| Mailing Fax Number | 2485696377 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901015550 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4802910 | 05 |
| Street Address |
20905 GREENFIELD RD SIUTE #601 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669439915 | All American Rehab Care | Clinic/Center | 20905 Greenfield Rd, Suite 300, Southfield, MI 48075-5360 | 2006-04-28 |
| 1295281582 | Mohamed Makki | Physical Therapy Assistant | 20905 Greenfield Rd, Suite 300 M, Southfield, MI 48075-5360 | 2016-08-28 |
| 1699131698 | Roxann Baker Dds PC | Dentist | 20905 Greenfield Rd, 208, Southfield, MI 48075-5360 | 2016-01-06 |
| 1629494422 | Tara L Walker | Nurse Practitioner | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2014-03-17 |
| 1265874945 | Greenfield and 9 Mile Medical Center Pllc | Family Medicine | 20905 Greenfield Rd, Ste 607m, Southfield, MI 48075-5360 | 2013-07-23 |
| 1053663575 | Rsmd Pllc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-10-08 |
| 1538417654 | R S Medical Services Plc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-08-21 |
| 1861754152 | Everett B. Simmons,jr.,m.d.,p.c. | Dermatology | 20905 Greenfield Rd, 607, Southfield, MI 48075-5360 | 2012-06-12 |
| 1912282096 | Melissa Ann Mack | Nurse Practitioner | 20905 Greenfield Rd, Suite 502, Southfield, MI 48075-5360 | 2011-10-20 |
| 1508182288 | Comprehensive Oral Healthcare PC | Dentist | 20905 Greenfield Rd, Suite 601, Southfield, MI 48075-5360 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1669017497 | Adler Dental Pllc | Dentist | 26771 W 12 Mile Rd Ste G115, Southfield, MI 48034-1539 | 2019-11-15 |
| 1285287094 | Julius Husam Abbu | Dentist | 22692 Pontchartrain Dr, Southfield, MI 48034-6205 | 2019-07-20 |
| 1346789047 | David M Kirschner Dds PC | Dentist | 29425 Northwestern Hwy Ste 310, Southfield, MI 48034-1000 | 2017-02-15 |
| 1558714659 | Kevin Geller | Dentist | 22660 Twyckingham Way, Southfield, MI 48034-6257 | 2016-07-13 |
| 1073994406 | Uppleger Dental | Dentist | 30855 Southfield Rd, Southfield, MI 48076-7735 | 2015-06-11 |
| 1013398502 | Faddi Salim | Dentist | 22180 Ivanhoe Ln, Southfield, MI 48034-5111 | 2015-06-10 |
| 1447493812 | Majed N Zayouna | Dentist | 21701 W 11 Mile Rd Ste 5, Southfield, MI 48076-3713 | 2009-04-14 |
| 1982849683 | Southfield Dental Center PC | Dentist | 17727 W. Ten Mile Rd., Southfield, MI 48075 | 2008-12-09 |
| 1982877254 | Cynthia Foster Dds PC | Dentist | 23077 Greenfield Rd Ste 290, Southfield, MI 48075-3745 | 2008-04-08 |
| 1144427915 | Steven K Markowitz | Dentist | 24764 Southfield Rd, Southfield, MI 48075-2715 | 2007-06-27 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on DR. SIGISMUND W GORDON JR..
| 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.