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Individual

JORDAN JAY PRIEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
595 N DOBSON RD STE B-40, CHANDLER, AZ 85224-4226
(517) 899-5151
Mailing address
1726 BLUE RIDGE DR, LANSING, MI 48917-9557
(517) 899-5151

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011846
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/13/2023
Last updated
01/12/2026
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