Organization
ASHVILLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRENT JORDAN D.M.D. (OWNER-ASHVILLE FAMILY DENTISTRY)
(205) 594-5044
Entity
Organization
Contact information
Practice address
279 5TH AVE, ASHVILLE, AL 35953
(205) 594-5044
(205) 594-5388
Mailing address
PO BOX 129, ASHVILLE, AL 35953-0129
(205) 594-5044
(205) 594-5388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5192
AL
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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