Organization
BRADLEY JORDAN DDS, PLLC
Active
Other names
Lone Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DAVID JORDAN D.D.S. (OWNER)
(612) 532-2094
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
284
SD
Other
Enumeration date
09/01/2015
Last updated
03/28/2025
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