Individual
DR. MELANIE EILEEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
816 STATE ST, CURWENSVILLE, PA 16833-1039
(814) 236-0539
(814) 236-0443
Mailing address
290 SHANNON HEIGHTS DR, OLANTA, PA 16863-8163
(814) 236-4657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029353L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015294680001
—
PA
Enumeration date
08/22/2005
Last updated
07/08/2007
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