Andrew B. Jordan, Dmd, P.A.
Dentist, General Practice in Greenville, NC. Organization (NPI-2).
NPI number1164073466
StatusActive
Last updated in NPPESSep 27, 2019
Details
- NPI
- 1164073466
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew B. Jordan, Dmd, P.A.
- Organization subpart
- No
- Enumeration date
- Sep 27, 2019
- Last updated
- Sep 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Andrew B. Jordan, Dmd (Doing Business As)
Practice location
215 Commerce StGreenville, NC 27858-5029
Phone 252-756-6626
Mailing address
215 Commerce StGreenville, NC 27858-5029
Phone 252-756-6626
Authorized official
Andrew Browne Jordan
President/Owner
2527566626
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