Individual
DR. JODIE LYDELL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1525 N NEW ST, KIRKSVILLE, MO 63501-2472
(660) 665-7908
(660) 665-9399
Mailing address
1525 N NEW ST, KIRKSVILLE, MO 63501-2472
(660) 665-7908
(660) 665-9399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014930
MO
Other
Enumeration date
08/22/2006
Last updated
06/29/2023
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