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Contact Information

NICOLE C GORE, DMD
5 BEARTOOTH DR
SHERIDAN, WY82801-9004
 Phone: 406-638-2626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for NICOLE C GORE · (Female)

NPI # 1710208079
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/21/2010
Last updated 06/21/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 7941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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