Organization
HUGH F. JORDAN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH FREDERICK JORDAN D.D.S. (PRESIDENT)
(912) 537-7211
Entity
Organization
Contact information
Practice address
401 DURDEN ST, VIDALIA, GA 30474-4600
(912) 537-7211
(912) 537-1011
Mailing address
401 DURDEN ST, VIDALIA, GA 30474-4600
(912) 537-7211
(912) 537-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00089702B
—
GA
Enumeration date
07/02/2008
Last updated
07/02/2008
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