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Contact Information

CLINT R JORDAN, DDS
130 WEST OLD HIGHWAY 2
MERNA, NE68856
 Phone: 308-643-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CLINT R JORDAN · (Male)

NPI Number 1215260286
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/09/2009
Last updated 09/22/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 6837
  • NE Medicaid 10026061400
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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