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JORDAN DENTAL GROUP INC NPI 1245405877


NPI Information

NPI: 1245405877
Provider Name: JORDAN DENTAL GROUP INC

Former Legal Business Name: BRUCE M JORDAN DDS, INC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6120 PASEO DEL NORTE
K1
CARLSBAD, CA
ZIP 92011
Phone: (760) 438-0948
Get Directions

JORDAN DENTAL GROUP INC is a general practice dentist in Carlsbad, CA. The provider is 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. JORDAN DENTAL GROUP INC NPI is 1245405877. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Bruce M Jordan Dds, Inc.

The provider's business location address is:

6120 PASEO DEL NORTE
K1
CARLSBAD, CA
ZIP 92011-150
Phone: (760) 438-0948
Fax: (760) 438-7821

The provider's authorized official is Melissa Sue Nelson .
The authorized official title is Office Coordinator and has the following contact phone number (760) 438-0948.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 7/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice28010CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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