Todd S Jordan, DDS, PA
Dentist in North Wilkesboro, NC. Organization (NPI-2).
NPI number1154533859
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154533859
- Entity type
- Organization (NPI-2)
- Legal business name
- Todd S Jordan, DDS, PA
- Organization subpart
- No
- Enumeration date
- May 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6575 | NC | Yes |
Practice location
921 Main StNorth Wilkesboro, NC 28659-4215
Phone 336-667-2201 · Fax 336-903-1652
Mailing address
921 Main StNorth Wilkesboro, NC 28659-4215
Phone 336-667-2201 · Fax 336-903-1652
Authorized official
Todd Sims Jordan
President
3366672201
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All 8 Dentist providers in North Wilkesboro · All 583 providers in North Wilkesboro
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