Individual
JORDAN M RAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
402 W JEFFERSON ST, KIRKSVILLE, MO 63501-3407
(660) 665-2741
(660) 665-3109
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016018479
MO
Other
Enumeration date
06/15/2016
Last updated
07/20/2016
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