Individual
MR. JORDAN IAN PLOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
977 LIVINGSTON AVE, NORTH BRUNSWICK, NJ 08902-1843
(732) 418-9800
Mailing address
65 ROLLING RIDGE RD, NEW CITY, NY 10956-6928
(845) 825-7189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02974500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2022
Last updated
07/18/2023
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