# MORRIS JORDAN D.D.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053584649
- **Authorized official:** DR. MORRIS JORDAN JR. DDS (DENTIST)
- **Authorized official phone:** (804) 730-9414

## Contact information

- **Practice address:** 7239 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3557
- **Practice address phone:** (804) 730-9414
- **Practice address fax:** (804) 730-3664
- **Mailing address:** 7239 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3557
- **Mailing address phone:** (804) 730-9414
- **Mailing address fax:** (804) 730-3664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 05316 | VA | Yes |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 04/04/2008