Individual
JORDAN HESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7505 GRAND LELY DR BLDG L, NAPLES, FL 34113-1753
(239) 775-3052
(239) 775-7035
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3175
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
19083
FL
1223P0221X
Pediatric Dentistry
Primary
DN19083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002509100
—
FL
Enumeration date
06/25/2010
Last updated
09/02/2016
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