Individual
DR. JORDAN A. GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 E MAIN ST STE 216, BRANFORD, CT 06405-2937
(914) 355-0840
Mailing address
500 E MAIN ST STE 216, BRANFORD, CT 06405-2937
(914) 355-0840
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010722
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
055602
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010722
CT LICENSE
CT
01
—
055602
NYS LICENSE
NY
Enumeration date
02/26/2009
Last updated
03/16/2024
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