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Contact Information

JEFFREY L JORDAN, DDS
5963 CALAIS COURT
6008 EAST 46TH ST.
INDIANAPOLIS, IN46220
 Phone: 317-254-5601
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEFFREY L JORDAN · (Male)

NPI # 1093939654
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 12008913
Hospital affiliation(s) Not Available
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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