Jordan, David L

Jordan, David L is an individual health care provider with primary practice located at 103 Evans City Rd , Butler PA 16001-2601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jordan, David L can be contacted via phone (724) 285-7202.

Contact Information

Primary practice address
103 Evans City Rd Butler PA 16001-2601
Phone: (724) 285-7202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS018932L Pennsylvania

Profile Details

NPI number 1003892647
LBN Legal business name Jordan, David L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated May 14th, 2008 - about 18 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 1003892647 NPPES
Pennsylvania Other 101357876 PROMISE #
Pennsylvania Other 24471-1 PROMISE #

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