Individual
DR. JORDYN MIDDLEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1518 WALNUT ST STE 500, PHILADELPHIA, PA 19102-3403
(215) 772-0775
Mailing address
1518 WALNUT ST STE 500, PHILADELPHIA, PA 19102-3403
(215) 772-0775
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS043665
PA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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