Jordan, Jacob

Jordan, Jacob is an individual health care provider with primary practice located at 6936 Pine Arbor Dr S Ste 210 , Cottage Grove MN 55016-4672. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jordan, Jacob can be contacted via phone (651) 769-1000.

Contact Information

Primary practice address
6936 Pine Arbor Dr S Ste 210 Cottage Grove MN 55016-4672
Phone: (651) 769-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D14958 Minnesota

Profile Details

NPI number 1528745197
LBN Legal business name Jordan, Jacob
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2023
Last updated Jul 5th, 2023 - about 3 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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