Individual
DR. JORDAN ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4171 CRESCENT DR STE 102, SAINT LOUIS, MO 63129-3645
(314) 200-3880
Mailing address
550 S CLAY AVE APT 2A, KIRKWOOD, MO 63122-5964
(480) 285-9973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025032488
MO
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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