Jordan, Hugh Frederick
Jordan, Hugh Frederick is an individual health care provider with primary practice located at 401 Durden St , Vidalia GA 30474-4600. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jordan, Hugh Frederick can be contacted via phone (912) 537-7211.Contact Information
Primary practice address
401 Durden St
Vidalia GA 30474-4600
Phone: (912) 537-7211
Fax: (912) 537-1011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8514 | Georgia |
Profile Details
| NPI number | 1609899368 |
|---|---|
| LBN Legal business name | Jordan, Hugh Frederick |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609899368 | NPPES |
| Georgia | MEDICAID | 00089702B |
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