Individual
JESSICA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1350 CONCOURSE AVE STE 446, MEMPHIS, TN 38104-2026
(901) 881-1234
Mailing address
1350 CONCOURSE AVE STE 446, MEMPHIS, TN 38104-2026
(901) 881-1234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10410
TN
1223G0001X
General Practice Dentistry
4056
AR
1223G0001X
General Practice Dentistry
4338-22
MS
Other
Enumeration date
06/29/2015
Last updated
07/22/2024
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