Individual
JORDAN DONALD VICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
633 HOPKINS RD, KERNERSVILLE, NC 27284-9379
(336) 543-0001
Mailing address
633 HOPKINS RD, KERNERSVILLE, NC 27284-9379
(336) 543-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14284
NC
1223G0001X
General Practice Dentistry
Primary
14284
NC
Other
Enumeration date
03/31/2025
Last updated
04/28/2026
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