Organization
TODD S JORDAN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD SIMS JORDAN D.D.S. (PRESIDENT)
(336) 667-2201
Entity
Organization
Contact information
Practice address
921 MAIN ST, NORTH WILKESBORO, NC 28659-4215
(336) 667-2201
(336) 903-1652
Mailing address
921 MAIN ST, NORTH WILKESBORO, NC 28659-4215
(336) 667-2201
(336) 903-1652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6575
NC
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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