Jordan, Ebony

Jordan, Ebony is an individual health care provider with primary practice located at 1427 Mission St , South Pasadena CA 91030-3213. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is her primary health care specialty. Jordan, Ebony can be contacted via phone (626) 403-1800.

Contact Information

Primary practice address
1427 Mission St South Pasadena CA 91030-3213
Phone: (626) 403-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12012022A Indiana
Dental Providers / Pediatric Dentistry 1223P0221X DDS103462 California
Dental Providers / Dentist 122300000X 12012022A Indiana

Profile Details

NPI number 1891009346
LBN Legal business name Jordan, Ebony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Apr 4th, 2024 - about 2 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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