Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790858850 Individual Practitioner Female Practitioner

Dr. Nicole Helen Gordon , DDS

Dentist - General Practice • Stateline, NV

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Gordon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stateline, NV. Practice services are available at 276 KINGSBURY GRADE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

276 Kingsbury Grade

Stateline, NV 894499804

Telephone 7755807410
Fax 7755807308
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stateline, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Stateline, NV (1127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NV 7149

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 53970

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1053887687

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 25, 2020

Registered at 276 KINGSBURY GRADE, STATELINE, NV 894499804 (Tel: 7755807410)

📍
Updated Business Mailing Address February 25, 2020

Registered at PO BOX 4680, STATELINE, NV 894494680 (Tel: 7755807410)

📍
Updated Practice Location October 05, 2018

Registered at 3461 LAKE TAHOE BLVD., SOUTH LAKE TAHOE, CA 96150 (Tel: 5305441050)

📍
Updated Business Mailing Address October 05, 2018

Registered at 3461 LAKE TAHOE BLVD., SOUTH LAKE TAHOE, CA 96150 (Tel: 5305441050)

👤
Provider Name / Credentials Updated October 05, 2018

Recorded as NICOLE GORDON, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 585 TAHOE KEYS BLVD STE 2, SOUTH LAKE TAHOE, CA 961503371 (Tel: 5305413772)

📍
Updated Business Mailing Address July 08, 2007

Registered at 585 TAHOE KEYS BLVD STE 2, SOUTH LAKE TAHOE, CA 961503371 (Tel: 5305413772)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NICOLE BUEL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #53970 in CA)

🟢
Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790858850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: January 19, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 4680

Stateline, NV 894494680

Phone: 7755807410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.