Individual
DR. JORDAN BLAINE LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(405) 402-4680
Mailing address
3000 DRAKE CREST DR, EDMOND, OK 73034-0018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8206
OK
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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