Individual
DR. ADAM BARNETT JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1920 SLAUGHTER RD, MADISON, AL 35758-8619
(256) 830-5412
Mailing address
1920 SLAUGHTER RD, MADISON, AL 35758-8619
(256) 830-5412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019027230
IL
1223G0001X
General Practice Dentistry
Primary
5408
AL
Other
Enumeration date
04/24/2007
Last updated
07/25/2012
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