Organization
JORDAN A. TORTORICH DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN TORTORICH DDS (DDS/OWNER)
(501) 481-8178
Entity
Organization
Contact information
Practice address
4909 HIGHWAY 5 N STE 1200, BRYANT, AR 72022-7066
(501) 481-8178
Mailing address
4909 HIGHWAY 5 N STE 1200, BRYANT, AR 72022-7066
(501) 481-8178
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250504679
—
AR
Enumeration date
03/31/2022
Last updated
03/31/2022
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