Michael L Gorlovsky, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN013818 Issued in GA

Practice address

3120 Mathis Airport Pkwy # 106501
Suwanee, GA 30024-9128

Phone

(770) 888-1929

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Windermere Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Suwanee, GA
  • NPI 1497086367
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1780887992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MATHIS AIRPORT PKWY STE 106",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249130",
            "telephone_number": "770-888-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MATHIS AIRPORT PKWY # 106501",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249128",
            "telephone_number": "770-888-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLOVSKY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN013818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie I Gonzalez, LCSW
• Amber K Goode, RDH, DDS
• Darrin L Goodwin, LPC
• Traci L Gordon
• Pamela Gorke
• Michelle Gormally, M.A., CCC-SLP
• Elena M Grant, LPC
• Cody Gray, DMD
• Rita Grayson, LCSW
• Greater Atlanta Monitoring, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.