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Contact Information

JORDAN FAMILY DENTAL PLLC
301 EL DORADO DRIVE
JORDAN, MN55352
 Phone: 952-492-2021
 Fax: 952-492-6505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JORDAN FAMILY DENTAL PLLC · (Female)

NPI # 1255024295
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2023
Last updated 04/10/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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