Organization · NPI-2

Adam B. Jordan, Dmd, PC

Dentist, General Practice · Madison, AL

NPI number1336583640
StatusActive
Last updated in NPPESApr 18, 2013

Details

NPI
1336583640
Entity type
Organization (NPI-2)
Legal business name
Adam B. Jordan, Dmd, PC
Organization subpart
No
Enumeration date
Apr 18, 2013
Last updated
Apr 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5408ALYes

Other names

  • Monrovia Family Dentistry (Doing Business As)

Practice location

1920 Slaughter Rd
Madison, AL 35758-8619

Phone 256-830-5412 · Fax 256-830-2021

Mailing address

1920 Slaughter Rd
Madison, AL 35758-8619

Phone 256-830-5412 · Fax 256-830-2021

Authorized official

Adam B. Jordan
President/Dentist
2568305412

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