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DR. GORDON PHILLIP SMITH D.D.S.
NPI 1073516712
Dentist - General Practice in Wixom, MI

Active since May 26, 2005PECOS Enrolled
3255 W MAPLE RD, WIXOM, MI 48393(248) 669-4141 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gordon Phillip Smith D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GORDON PHILLIP SMITH D.D.S. (NPI 1073516712) is an individual general practice provider in Wixom, Michigan, licensed in Michigan (013824) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073516712
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GORDON PHILLIP SMITHCredential: D.D.S.
Location Address3255 W MAPLE RDWixom, MI 48393-1820
Mailing Address3255 W Maple RdWixom, MI 48393-1820 · (248) 669-4141
Phone(248) 669-4141
Sole ProprietorYes
Enumeration DateMay 26, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073516712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 013824
Definition
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.
3255 W MAPLE RD, Wixom, MI 48393
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon Phillip Smith D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48393 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FACIAL BEAUTY DENTAL, PLLC
Dentist (General Practice)
3255 W MAPLE RD
WIXOM, MI 48393
Oakland County (248) 669-4141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Smith's NPI number?

The NPI number for Gordon Smith is 1073516712. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Where is Gordon Smith located?

Gordon Smith practices at 3255 W Maple Rd, Wixom, MI 48393. The listed phone number is (248) 669-4141.

What is Gordon Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gordon Smith enrolled in Medicare?

Yes. Gordon Smith is registered in the Medicare PECOS enrollment system.

What insurance does Gordon Smith accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and Humana list Gordon Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.