# MICHELE L. MCGORKY

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

## Provider details

- **NPI number:** 1629075411
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D-4815 | ID | Yes |
| 122300000X | Dentist | DD2605 | NM | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 11/25/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 85705349 | — | NM |