# ANDREW B. JORDAN, DMD, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Andrew B. Jordan, DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164073466
- **Authorized official:** DR. ANDREW BROWNE JORDAN DMD (PRESIDENT/OWNER)
- **Authorized official phone:** (252) 756-6626

## Contact information

- **Practice address:** 215 COMMERCE ST, GREENVILLE, NC 27858-5029
- **Practice address phone:** (252) 756-6626
- **Mailing address:** 215 COMMERCE ST, GREENVILLE, NC 27858-5029
- **Mailing address phone:** (252) 756-6626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2019
- **Last updated:** 09/27/2019