Organization
DR W SCOTT JORDAN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCOTT JORDAN (DENTIST OWNER)
(828) 287-4381
Entity
Organization
Contact information
Practice address
334 N MAIN ST, RUTHERFORDTON, NC 28139
(828) 287-4381
(828) 286-0531
Mailing address
334 N MAIN ST, RUTHERFORDTON, NC 28139
(828) 287-4381
(828) 286-0531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994743
—
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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