Individual
DR. JORDAN HUMMELGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
Mailing address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61699
KS
Other
Enumeration date
06/04/2020
Last updated
02/25/2021
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