Gordon, Jodie Lydell
Gordon, Jodie Lydell is an sole proprietor health care provider with primary practice located at 1525 N New St , Kirksville MO 63501-2472. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gordon, Jodie Lydell can be contacted via phone (660) 665-7908.Contact Information
Primary practice address
1525 N New St
Kirksville MO 63501-2472
Phone: (660) 665-7908
Fax: (660) 665-9399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 014930 | Missouri |
Profile Details
| NPI number | 1659487601 |
|---|---|
| LBN Legal business name | Gordon, Jodie Lydell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jun 29th, 2023 - about 3 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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