Individual
DR. HARRISON SCOTT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1064 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-4313
Mailing address
2160 LAURA DR, SEMMES, AL 36575-7012
(251) 459-3877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007171-C1
AL
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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