Individual
JASON BRENT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
279 5TH AVE, ASHVILLE, AL 35953
(205) 594-5044
(205) 594-5044
Mailing address
PO BOX 129, ASHVILLE, AL 35953
(205) 594-5044
(205) 594-5388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5192
AL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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