Walter Wayne Jordan in Durham - General Practice
Walter Wayne Jordan - NPI 1831109198
Walter Wayne Jordan is a General Practice in Durham, North Carolina. Walter Wayne Jordan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Walter Wayne Jordan is 1831109198. The last update date is 2007-07-08.
Walter Wayne Jordan's current location address is 2900 Croasdaile Drive, Durham, North Carolina. You can contact this provider via phone number 9193837402 and fax number 9193833755. The mailing address for Walter Wayne Jordan is 2900 Croasdaile Drive, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Wayne Jordan |
|---|---|
| Address | 2900 Croasdaile Drive, Durham, North Carolina |
| Phone Number | 9193837402 |
| Fax Number | 9193833755 |
| Sole Proprietor | N |
| Credentials | DDS PA |
NPI Number Detail
| NPI Number | 1831109198 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2900 Croasdaile Drive |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 27705 |
| Phone Number | 9193837402 |
| Fax Number | 9193833755 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4076 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0137M | NC | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Walter Wayne Jordan by the Centers for Medicare & Medicaid Services?
The Walter Wayne Jordan has been issued the NPI (National Provider Identifier) 1831109198. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Walter Wayne Jordan?
The Walter Wayne Jordan is situated at 2900 Croasdaile Drive, in the city of Durham, state of NC, with the zip code 27705.
What is the area of specialization for Walter Wayne Jordan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Walter Wayne Jordan is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Walter Wayne Jordan receive its 1831109198 assignment from the Centers for Medicare & Medicaid Services?
The Walter Wayne Jordan was assigned its 1831109198 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Walter Wayne Jordan most recently updated?
The details pertaining to the Walter Wayne Jordan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.