Organization
THOMAS D. JORDAN, DDS, PC
Active
Other names
DawnDENTAL Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JORDAN DDS (OFFICER)
(636) 978-6400
Entity
Organization
Contact information
Practice address
346 FORT ZUMWALT SQ, O FALLON, MO 63366-3065
(636) 978-6400
(636) 980-1125
Mailing address
346 FORT ZUMWALT SQ, O FALLON, MO 63366-3065
(636) 978-6400
(636) 980-1125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015009
MO
Other
Enumeration date
01/26/2007
Last updated
06/27/2012
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