Individual
DR. DAVID L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
103 EVANS CITY RD, BUTLER, PA 16001-2601
(724) 285-7202
Mailing address
435 GREENHURST DR, PITTSBURGH, PA 15243-1919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018932L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101357876
PROMISE #
PA
01
—
24471-1
DBP PROVIDER ID
PA
Enumeration date
12/15/2005
Last updated
05/14/2008
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