Organization
THOMAS A JORDAN DDS LLC
Active
Other names
Grant Dental Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ANDREW JORDAN DDS (OWNER)
(701) 367-5961
Entity
Organization
Contact information
Practice address
8909 GRANT ST, OMAHA, NE 68134-6161
(402) 572-1120
Mailing address
2424 ALCOTT ST UNIT 1107, DENVER, CO 80211-4910
(701) 367-5961
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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