NPI

Nicole Helen Gordon

NPI 1790858850

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2006-11-16
Last updated
2022-01-19

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Specialties

Licenses

License CA
53970
License NV
7149

Location

Practice location
276 Kingsbury Grade
City
Stateline NV
Postal code
89449-9804
Phone
(775) 580-7410

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Stateline, NV. 70 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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