Gordeev, Mikhail
Gordeev, Mikhail is an individual health care provider with primary practice located at 450 Main Street , Metuchen NJ 08840. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gordeev, Mikhail can be contacted via phone (732) 452-0222.Contact Information
Primary practice address
450 Main Street
Metuchen NJ 08840
Phone: (732) 452-0222
Fax: (732) 452-0220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI20451 | New Jersey |
Profile Details
| NPI number | 1306921721 |
|---|---|
| LBN Legal business name | Gordeev, Mikhail |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306921721 | NPPES |
| New Jersey | MEDICAID | 7956100 |
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