Individual
DR. NICOLE THORNTON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
800 ROSE ST FL 1, LEXINGTON, KY 40536-2602
(859) 323-5831
(859) 257-3366
Mailing address
691 ALDERMAN RD, PALM HARBOR, FL 34683-2602
(727) 724-4227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11188
KY
122300000X
Dentist
DN17664
FL
Other
Enumeration date
05/15/2007
Last updated
08/14/2024
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