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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 Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for KALISHA JORDAN · (Female)

NPI Number 1497826960
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/13/2006
Last updated 07/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0401411472
  • VA Medicaid 9183511
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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