# HEALTHY KIDS FIRST

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

## Provider details

- **NPI number:** 1861657579
- **Authorized official:** DR. JEFFREY L JORDAN D.D.S (DENTIST)
- **Authorized official phone:** (317) 254-5601

## Contact information

- **Practice address:** 5963 CALAIS CT, INDIANAPOLIS, IN 46220-6004
- **Practice address phone:** (317) 562-1260
- **Practice address fax:** (317) 562-1356
- **Mailing address:** 5963 CALAIS CT, INDIANAPOLIS, IN 46220-6004
- **Mailing address phone:** (317) 562-1260
- **Mailing address fax:** (317) 562-1356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12008913 | IN | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 07/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200246650 | PROVIDER NUMBER | IN |