Individual
DR. KYLE ROBERT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5336 STADIUM TRACE PKWY STE 102, HOOVER, AL 35244-4581
(205) 746-4117
Mailing address
5336 STADIUM TRACE PKWY STE 102, HOOVER, AL 35244-4581
(205) 988-9700
(205) 988-4191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6529
AL
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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