Provider Demographics
NPI:1750928321
Name:GORDON & SCHELLER DDS PLLC
Entity type:Organization
Organization Name:GORDON & SCHELLER DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-277-2531
Mailing Address - Street 1:2708 NC-127 SOUTH.
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602
Mailing Address - Country:US
Mailing Address - Phone:828-672-1000
Mailing Address - Fax:828-672-1030
Practice Address - Street 1:136 RESERVATION DR
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160
Practice Address - Country:US
Practice Address - Phone:828-286-2962
Practice Address - Fax:828-286-3224
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRI-CITY FAMILY DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-03
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty