National Provider Identifier Database

JORDAN M WALLE
Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.


Contact Information

JORDAN M WALLE
2074 S 6TH ST
KLAMATH FALLS, OR97601-3372
Phone: 541-851-8110
Fax:
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for JORDAN M WALLE

NPI Number 1780330282
Credentials
Entity Individual
Enumeration date 02/23/2022
Last updated 07/30/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • OR License #: D11718
  • OR Medicaid: 500822026
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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