Individual
DR. RODERICK QUENNEL JORDAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
40 WELDON PKWY, MARYLAND HEIGHTS, MO 63043-3202
(314) 254-4000
Mailing address
23 JAMESTOWN FARM DR, FLORISSANT, MO 63034-1432
(314) 780-8331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025024688
MO
Other
Enumeration date
05/06/2025
Last updated
07/22/2025
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