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DR. GORDON BARRY SHLOM DDS
NPI 1669560900
Dentist - General Practice in Waterford, MI

Active since October 11, 2006
2759 ELIZABETH LAKE RD, SUITE 100, WATERFORD, MI 48328(248) 681-4470(248) 681-9137 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. Gordon Barry Shlom Dds NPPES

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

DR. GORDON BARRY SHLOM DDS (NPI 1669560900) is an individual general practice provider in Waterford, Michigan, licensed in Michigan (10184) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1669560900
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GORDON BARRY SHLOMCredential: DDS
Location Address2759 ELIZABETH LAKE RD, SUITE 100Waterford, MI 48328
Mailing Address2759 Elizabeth Lake Rd, Suite 100Waterford, MI 48328 · (248) 681-4470 · Fax (248) 681-9137
Phone(248) 681-4470
Fax(248) 681-9137
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669560900 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 · 10184
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.
2759 ELIZABETH LAKE RD, Waterford, MI 48328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

A1 FAMILY DENTISTRY OF WATERFORD,PLC
Clinic/Center (Dental)
2759 ELIZABETH LAKE RD
WATERFORD, MI 48328
Oakland County (586) 226-0638
DR. JEROME ALAN JAFFEE DDS
Dentist (General Practice)
2759 ELIZABETH LAKE RD
WATERFORD, MI 48328
Oakland County (248) 681-4470

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 Shlom's NPI number?

The NPI number for Gordon Shlom is 1669560900. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Gordon Shlom located?

Gordon Shlom practices at 2759 Elizabeth Lake Rd Suite 100, Waterford, MI 48328. The listed phone number is (248) 681-4470.

What is Gordon Shlom's specialty?

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

What insurance does Gordon Shlom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Gordon Shlom 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 Shlom 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.