DR. MICHAEL JAY GORDON SR. DDS
NPI 1114072345
Dentist - General Practice in Fayetteville, NC

Active since January 25, 2007
4155 FERNCREEK DR, SUITE 101, FAYETTEVILLE, NC 28314(910) 323-8899(910) 486-6524 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Jay Gordon Sr. Dds NPPES

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

DR. MICHAEL JAY GORDON SR. DDS (NPI 1114072345) is an individual general practice provider in Fayetteville, North Carolina, licensed in North Carolina (5492) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114072345
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL JAY GORDON SR.Credential: DDS
Location Address4155 FERNCREEK DR, SUITE 101Fayetteville, NC 28314-2581
Mailing Address4325 Norwick DrFayetteville, NC 28314-2531 · (910) 323-8899
Fax(910) 486-6524
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1114072345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 5492
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.
4155 FERNCREEK DR, Fayetteville, NC 28314

Other Identifiers 2

Other805329NC · Ucci
Other5492NC · Delta Retired

Other Providers at the Same Location NPPES 6

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

Clinic/Center
4155 FERNCREEK DR, SUITE 102B
FAYETTEVILLE, NC 28314
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4155 FERNCREEK DR
FAYETTEVILLE, NC 28314
Psychiatry & Neurology (Psychiatry)
4155 FERNCREEK DR, SUITE 102 A
FAYETTEVILLE, NC 28314
Nurse Practitioner (Family)
4155 FERNCREEK DR
FAYETTEVILLE, NC 28314
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4155 FERNCREEK DR
FAYETTEVILLE, NC 28314
Dentist
4155 FERNCREEK DR, SUITE 101
FAYETTEVILLE, NC 28314

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 Michael Gordon's NPI number?

The NPI number for Michael Gordon is 1114072345. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Michael Gordon located?

Michael Gordon practices at 4155 Ferncreek Dr Suite 101, Fayetteville, NC 28314. The listed phone number is (910) 323-8899.

What is Michael Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Gordon 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.