Organization
MELANIE E. JORDAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE EILEEN JORDAN DDS (PRESIDENT)
(814) 236-0539
Entity
Organization
Contact information
Practice address
816 STATE ST, FLOOR ONE, CURWENSVILLE, PA 16833-1039
(814) 236-0539
(814) 236-0443
Mailing address
816 STATE ST, FLOOR ONE, CURWENSVILLE, PA 16833-1039
(814) 236-0539
(814) 236-0443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029353L
PA
1223G0001X
General Practice Dentistry
DS031357L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015294680001
—
PA
Enumeration date
04/17/2008
Last updated
04/17/2008
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