# MR. JOHN T NORDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295864460
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 019030477 | IL | — |
| 1223G0001X | General Practice Dentistry | 0107 | AL | Yes |
| 1223G0001X | General Practice Dentistry | 8357 | KY | — |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 11/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60004371 | — | KY |
