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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JODIE LYDELL GORDON, D.D.S.

Active Sole Proprietor

DR. JODIE LYDELL GORDON, D.D.S. is a General Dentistry healthcare provider located in KIRKSVILLE, Missouri. NPI 1659487601 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · KIRKSVILLE, MO

Registration Details

NPI Number
1659487601
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2006 (19.975323187435 yrs)
Last Updated
Jun 29, 2023
License
014930 (MO)
Sole Proprietor
Yes

Practice Information

Address
1525 N NEW ST
KIRKSVILLE, MO, 635012472
Browse MO providers · Browse ZIP 63501
Phone
6606657908
Fax
6606659399
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in KIRKSVILLE, MO

Name Credential NPI
DR. ARNOLD S BARBER D.O. 1497781231
DR. KAMRA M DEFRIES D.D.S. 1518088731
DR. ALAN RICHARD BARBER DDS 1417115619
LINDSAY ANN STUFFLEBEAN D.M.D. 1508433244
DR. DAVE DARKO KOJIC DMD, MS, PHD 1952131864
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.