Individual
JORDAN ALEXANDER NOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1900 S AIR DEPOT BLVD STE 1, MIDWEST CITY, OK 73110-5522
(405) 455-1534
(405) 455-1513
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7464
OK
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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