Joe Jordan in Philadelphia - Dentist

Joe Jordan - NPI 1184831042

Joe Jordan is a Dentist in Philadelphia, Mississippi. Joe Jordan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Joe Jordan is 1184831042. The last update date is 2007-07-08.

Joe Jordan's current location address is 521 Center Ave N, Philadelphia, Mississippi. You can contact this provider via phone number 6016564732 and fax number 6016565885. The mailing address for Joe Jordan is 521 Center Ave N, Philadelphia, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Joe Jordan
Address 521 Center Ave N, Philadelphia, Mississippi
Phone Number 6016564732
Fax Number 6016565885
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1184831042
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 521 Center Ave N
City Philadelphia
State Mississippi (MS)
Post Code 393502551
Phone Number 6016564732
Fax Number 6016565885

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 1757-77
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Joe Jordan

What is the Joe Jordan's unique identification number?

The Joe Jordan has been assigned the NPI (National Provider Identifier) Number 1184831042 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Joe Jordan is physically located?

The Joe Jordan is physically situated at the following address: 521 Center Ave N, Philadelphia, MS, 393502551.

What is Joe Jordan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Joe Jordan's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did Joe Jordan receive its 1184831042 assignment from the Centers for Medicare & Medicaid Services?

The Joe Jordan was assigned its 1184831042 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Joe Jordan last refreshed?

The information related to the Joe Jordan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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