Individual
DR. ANDREW D JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
214 N MAIN ST, PONTIAC, IL 61764-1905
(815) 842-3550
(815) 842-2811
Mailing address
214 N MAIN ST, PONTIAC, IL 61764-1905
(815) 842-3550
(815) 842-2811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025955
IL
Other
Enumeration date
11/01/2006
Last updated
05/19/2021
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