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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

NPI Number 1255024295
LBN Legal business name JORDAN FAMILY DENTAL PLLC
Authorized official KATIE FERRAZ-SOUZA - (DENTIST / OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2023
Last updated 04/10/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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