National Provider Identifier Database

KALISHA JORDAN, DDS – NPI #1497826960
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

KALISHA JORDAN, DDS
105 BULIFANTS BLVD
SUITE B
WILLIAMSBURG, VA23188-5717
Phone: 757-903-2577
Fax: 757-903-2866
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for KALISHA JORDAN

NPI Number 1497826960
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/13/2006
Last updated 07/02/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • VA License #: 0401411472
  • VA Medicaid: 9183511
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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