Individual
DR. CATRINEL ELENA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
16270 AIRLINE HWY STE B, PRAIRIEVILLE, LA 70769-4589
(225) 673-1557
(225) 673-6815
Mailing address
16270 AIRLINE HWY STE B, PRAIRIEVILLE, LA 70769-4589
(225) 673-1557
(225) 673-6815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6275
LA
332BC3200X
Customized Equipment (DME)
Primary
6275
LA
Other
Enumeration date
09/14/2012
Last updated
05/07/2026
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