Clifton Jordan III, DDS
Dentist in Orangeburg, SC. Individual provider (NPI-1).
NPI number1083662415
StatusActive
Last updated in NPPESFeb 16, 2011
Details
- NPI
- 1083662415
- Entity type
- Individual (NPI-1)
- Name
- Clifton Jordan III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Feb 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | SC4010 | SC | Yes |
| 1223G0001X | Dentist, General Practice | 4010 | SC |
Practice location
2197 Saint Matthews RdOrangeburg, SC 29118-2038
Phone 803-531-1601
Mailing address
2197 Saint Matthews RdOrangeburg, SC 29118-2038
Phone 803-531-1601
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