Gordon, Alicia
Gordon, Alicia is an individual health care provider with primary practice located at 217 W Jefferson St , Pulaski TN 38478-2812. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gordon, Alicia can be contacted via phone (931) 363-1564.Contact Information
Primary practice address
217 W Jefferson St
Pulaski TN 38478-2812
Phone: (931) 363-1564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7510 | Tennessee |
Profile Details
| NPI number | 1568524361 |
|---|---|
| LBN Legal business name | Gordon, Alicia |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Mar 31st, 2022 - about 4 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.
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