Healthcare Provider Details

I. General information

NPI: 1386774503
Provider Name (Legal Business Name): FRANKLIN L GORDON D.D.S, MS,MS,PC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 S LINDEN RD SUITE D
FLINT MI
48532-3498
US

IV. Provider business mailing address

3480 TIMBERWOOD LN
ANN ARBOR MI
48103-1700
US

V. Phone/Fax

Practice location:
  • Phone: 810-230-0990
  • Fax:
Mailing address:
  • Phone: 734-994-0864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD134620
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberD134620
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: