Jordan, Clifton

Jordan, Clifton is an individual health care provider with primary practice located at 2197 Saint Matthews Rd , Orangeburg SC 29118-2038. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Jordan, Clifton can be contacted via phone (803) 531-1601.

Contact Information

Primary practice address
2197 Saint Matthews Rd Orangeburg SC 29118-2038
Phone: (803) 531-1601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4010 South Carolina
Dental Providers / Dentist 122300000X SC4010 South Carolina

Profile Details

NPI number 1083662415
LBN Legal business name Jordan, Clifton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Feb 16th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083662415 NPPES
South Carolina MEDICAID ZX4010

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