Individual
DR. JANE J JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
800 ROSE STREET, ROOM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5996
(859) 257-1847
Mailing address
800 ROSE STREET, ROOM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5996
(859) 257-1847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6144
KY
1223G0001X
General Practice Dentistry
Primary
6144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061447
—
KY
Enumeration date
01/31/2007
Last updated
04/27/2015
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