Individual
DR. BENJAMIN CRAIG JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
737 S MAIN ST, SOCIETY HILL, SC 29593-8972
(866) 815-9845
(800) 882-4690
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
(843) 309-8126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8089
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX8089
—
SC
Enumeration date
06/27/2012
Last updated
08/25/2025
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