Organization
313 PLLC
Active
Other names
Breathe Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDON C SMITH DDS (DENTIST/OWNER)
(918) 698-9807
Entity
Organization
Contact information
Practice address
101 E ALBANY ST STE 101, BROKEN ARROW, OK 74012-8987
(918) 393-0070
(918) 380-0727
Mailing address
101 E ALBANY ST STE 101, BROKEN ARROW, OK 74012-8987
(918) 393-0070
(918) 380-0727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
08/01/2022
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