Individual
DR. JORDAN BENJAMIN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
714 NJ 10, RANDOLPH, NJ 07869
(973) 366-8338
Mailing address
11 PINE ST APT 405, MONTCLAIR, NJ 07042-4380
(631) 258-6277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
062013
NY
1223G0001X
General Practice Dentistry
Primary
22DI03033800
NJ
Other
Enumeration date
02/06/2020
Last updated
06/13/2025
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