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Individual
DR. SHAWN FRANCIS JORDAN
Active
Individual
DR. SHAWN FRANCIS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053904
NY
1223E0200X
Endodontics
053904
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05227936
—
NY
Enumeration date
07/18/2008
Last updated
07/17/2023
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