National Provider Identifier Database

CLINT R JORDAN, DDS – NPI #1215260286
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

CLINT R JORDAN, DDS
130 WEST OLD HIGHWAY 2
MERNA, NE68856
Phone: 308-643-2255
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for CLINT R JORDAN

NPI Number 1215260286
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/09/2009
Last updated 09/22/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • NE License #: 6837
  • NE Medicaid: 10026061400
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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