Individual
ADAM EDWARD JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12772 S QUAIL LAKE DR, RIVERTON, UT 84096-2542
(385) 354-9429
Mailing address
12772 S QUAIL LAKE DR, RIVERTON, UT 84096-2542
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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