Individual
DR. ANDREW JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
215 COMMERCE ST, GREENVILLE, NC 27858-5029
(252) 756-6626
Mailing address
215 COMMERCE ST, GREENVILLE, NC 27858-5029
(252) 756-6626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10467
NC
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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