Individual
DR. BRADLEY DAVID JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
802 20TH ST S, BROOKINGS, SD 57006-4663
(605) 930-4343
Mailing address
802 20TH ST S, BROOKINGS, SD 57006-4663
(605) 930-4343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08903
IA
122300000X
Dentist
Primary
D1080
SD
Other
Enumeration date
06/15/2012
Last updated
03/28/2025
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