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DR. JODIE LYDELL GORDON D.D.S.
NPI 1659487601
Dentist - General Practice in Kirksville, MO

Active since August 22, 2006
1525 N NEW ST, KIRKSVILLE, MO 63501(660) 665-7908(660) 665-9399 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jodie Lydell Gordon D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JODIE LYDELL GORDON D.D.S. (NPI 1659487601) is an individual general practice provider in Kirksville, Missouri, licensed in Missouri (014930) and active in the NPI registry since August 2006. He maintains a secondary practice location in Hannibal.

NPPES Registry Identity

NPI1659487601
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JODIE LYDELL GORDONCredential: D.D.S.
Location Address1525 N NEW STKirksville, MO 63501-2472
Mailing Address1525 N New StKirksville, MO 63501-2472 · (660) 665-7908 · Fax (660) 665-9399
Phone(660) 665-7908
Fax(660) 665-9399
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1659487601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 014930
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1525 N NEW ST, Kirksville, MO 63501
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Secondary Practice Location 1

Location 1141 Communication DrHannibal, MO 63401-3670 · Phone (573) 603-1460 · Fax (573) 603-1462

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodie Gordon's NPI number?

The NPI number for Jodie Gordon is 1659487601. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Jodie Gordon located?

Jodie Gordon practices at 1525 N New St, Kirksville, MO 63501. The listed phone number is (660) 665-7908.

What is Jodie Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jodie Gordon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Jodie Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jodie Gordon was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.