Individual
MICHAEL EUGENE JORDAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5550 HIGHWAY 153 STE 100, HIXSON, TN 37343-4991
(423) 875-2626
Mailing address
5081 CITY STATION DR APT 201, OOLTEWAH, TN 37363-7080
(919) 333-2258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12025
TN
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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