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General NPI Number Information
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NPI Number | 1386774503
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Entity Type | Individual
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Provider Name | FRANKLIN L GORDON D.D.S, MS,MS,PC
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1295 S LINDEN RD SUITE D
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City | FLINT
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State | MI
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Zip | 48532-3498
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Country | US
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Telephone | 810-230-0990
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Fax |
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Provider Business Mailing Address
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Address Line | 3480 TIMBERWOOD LN
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City | ANN ARBOR
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State | MI
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Zip | 48103-1700
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Country | US
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Telephone | 734-994-0864
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D134620
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | D134620
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License Number State | MI
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