Active NPIIndividual provider

Mikhail Gordeev, DDS

Dentist, General Practice in Metuchen, New Jersey

NPI Number1306921721
Practice location
450 Main Street, Metuchen, NJ 08840
Fax
732-452-0220
Last updated
July 8, 2007

Mikhail Gordeev is a Dentist, General Practice based in Metuchen, NJ. Mikhail Gordeev practices in Metuchen, NJ and has the professional credentials of DDS. The NPI Number for Mikhail Gordeev is 1306921721 and holds a License No. DI20451 (NJ). The current practice location address for Mikhail Gordeev is 450 Main Street, Metuchen, NJ 08840 and can be reached out via phone at 732-452-0222 and via fax at 732-452-0220.

Provider Profile Details

NPI Number
1306921721
Provider Name
Mikhail Gordeev
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
450 Main Street, Metuchen, NJ 08840
Phone Number
732-452-0222
Fax Number
732-452-0220
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Main Street
Metuchen, NJ 08840
Zip
08840
Phone Number
732-452-0222
Fax Number
732-452-0220
Metuchen, NJ 08840Get directions →

Provider Business Mailing Address Details

Address
450 Main Street
Metuchen, NJ 08840
City
Metuchen
State
NJ
Zip
08840
Phone Number
732-452-0222
Fax Number
732-452-0220

License Information

License Number
DI20451
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mikhail Gordeev, DDS?

The NPI number of Mikhail Gordeev, DDS is 1306921721. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mikhail Gordeev, DDS?

Mikhail Gordeev, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI20451.

Where does Mikhail Gordeev, DDS practice?

The practice location is 450 Main Street, Metuchen, NJ 08840. The office can be reached at 732-452-0222 (phone) or 732-452-0220 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306921721 directly on the NPPES registry website.

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