Individual
DR. JORDAN CHARLES BROZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9012 N SKYVIEW AVE, KANSAS CITY, MO 64154-8501
(816) 787-0680
Mailing address
2918 S 112TH ST, OMAHA, NE 68144-4702
(402) 525-2192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2025016688
MO
1223P0221X
Pediatric Dentistry
Primary
2025016688
MO
1223P0221X
Pediatric Dentistry
7912
NE
Other
Enumeration date
07/06/2023
Last updated
07/22/2025
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