Jordan-Gonzalez, Michelle C
Jordan-Gonzalez, Michelle C is an individual health care provider with primary practice located at 23250 Mercantile Rd Ste 110 , Beachwood OH 44122-5928. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Jordan-Gonzalez, Michelle C can be contacted via phone (216) 920-9593.Contact Information
Primary practice address
23250 Mercantile Rd Ste 110
Beachwood OH 44122-5928
Phone: (216) 920-9593
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS041470 | Pennsylvania |
| Dental Providers / Endodontics | 1223E0200X | 30025830 | Ohio |
Profile Details
| NPI number | 1689192627 |
|---|---|
| LBN Legal business name | Jordan-Gonzalez, Michelle C |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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