Jordan, Lisa M
Jordan, Lisa M is an individual health care provider with primary practice located at 106 Bloomfield Ave , Windsor CT 06095-2813. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jordan, Lisa M can be contacted via phone (860) 688-2679.Contact Information
Primary practice address
106 Bloomfield Ave
Windsor CT 06095-2813
Phone: (860) 688-2679
Fax: (860) 688-3209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 007567 | Connecticut |
Profile Details
| NPI number | 1396090965 |
|---|---|
| LBN Legal business name | Jordan, Lisa M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2012 |
| Last updated | Jul 19th, 2012 - about 14 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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