Individual
DR. JEREMY CURTIS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 HICKMAN RD, CHARLOTTESVILLE, VA 22911-3554
(434) 973-2520
Mailing address
100 HURST LN APT 305, CHARLOTTESVILLE, VA 22903-6411
(276) 275-3983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415552
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2015
Last updated
07/21/2022
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