Individual
DR. JORDAN P JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
147 COUNTY RD, BARRINGTON, RI 02806-4586
(401) 245-2626
(401) 245-7775
Mailing address
6 CADY ST., PROVIDENCE, RI 02903
(401) 245-2626
(401) 245-7775
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
02779
RI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20608
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02779
LIC #
RI
Enumeration date
07/20/2006
Last updated
07/08/2007
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