# MDC DENTAL, LLC

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

## Provider details

- **NPI number:** 1891267456
- **Authorized official:** DR. DAVID L JORDAN DMD (OWNER/PROVIDER DENTIST)
- **Authorized official phone:** (724) 459-5310

## Contact information

- **Practice address:** 135 E MARKET ST STE 116, BLAIRSVILLE, PA 15717-1369
- **Practice address phone:** (724) 459-5310
- **Practice address fax:** (724) 459-5848
- **Mailing address:** 135 E MARKET ST STE 116, BLAIRSVILLE, PA 15717-1369
- **Mailing address phone:** (724) 459-5310
- **Mailing address fax:** (724) 459-5848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2018
- **Last updated:** 12/20/2018
