Individual
JORDAN R SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 PERSHING DR STE 102, SILVER SPRING, MD 20910-4436
(301) 562-9455
Mailing address
8225 OSAGE LN, BETHESDA, MD 20817-4405
(301) 787-2156
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18525
MD
1223E0200X
Endodontics
DEN2000507
DC
1223E0200X
Endodontics
DR-3119
HI
Other
Enumeration date
06/20/2019
Last updated
09/15/2025
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