Jordan, Millard Dennis

Jordan, Millard Dennis is an individual health care provider with primary practice located at 17563 Greenfield , Detroit MI 48235. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jordan, Millard Dennis can be contacted via phone (313) 272-0118.

Contact Information

Primary practice address
17563 Greenfield Detroit MI 48235
Phone: (313) 272-0118
Fax: (313) 272-0488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901012336 Michigan

Profile Details

NPI number 1609993898
LBN Legal business name Jordan, Millard Dennis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609993898 NPPES
Michigan MEDICAID 4053791

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