Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE HELEN GORDON, DDS
Active Sole ProprietorDR. NICOLE HELEN GORDON, DDS is a General Dentistry healthcare provider located in STATELINE, Nevada. NPI 1790858850 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · STATELINE, NV
Registration Details
- NPI Number
- 1790858850
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2006 (19.568391633809 yrs)
- Last Updated
- Jan 19, 2022
- Licenses
-
53970 (CA)7149 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
276 KINGSBURY GRADESTATELINE, NV, 894499804Browse NV providers · Browse ZIP 89449
- Phone
- 7755807410
- Fax
- 7755807308
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in STATELINE, NV
| Name | Credential | NPI |
|---|---|---|
| DR. DENNIS DOYLE BOWMAN | D.D.S | 1750596276 |
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.