Jordan, Shawn Francis

Jordan, Shawn Francis is an sole proprietor health care provider with primary practice located at 125 Grand Island Blvd , Tonawanda NY 14150-6603. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Jordan, Shawn Francis can be contacted via phone (716) 695-3636.

Contact Information

Primary practice address
125 Grand Island Blvd Tonawanda NY 14150-6603
Phone: (716) 695-3636
Fax: (716) 264-4160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 053904 New York
Dental Providers / Dentist 122300000X 053904 New York

Profile Details

NPI number 1386809333
LBN Legal business name Jordan, Shawn Francis
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2008
Last updated Jul 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386809333 NPPES
New York MEDICAID 05227936

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