Individual
DR. CATRINEL ELENA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6275
LA
261QD0000X
Dental Clinic/Center
Primary
6275
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
6275
LA
Other
Enumeration date
09/14/2012
Last updated
05/26/2026
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