CHRISTOPHER JORDAN DDS INC. NPI 1104548692

NPI Information

  • NPI: 1104548692
  • Provider Name: CHRISTOPHER JORDAN DDS INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PREMIUM DENTAL
  • Address: 39 CREEK ROAD
    SUITE 220
    IRVINE, CA
    ZIP 92604
  • Phone: (949) 654-2737

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NPI Details

CHRISTOPHER JORDAN DDS INC. is a general practice dentist in Irvine, 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. CHRISTOPHER JORDAN DDS INC. NPI is 1104548692. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Premium Dental.

The provider's business location address is:

39 CREEK ROAD
SUITE 220
IRVINE, CA
ZIP 92604-704
Phone: (949) 654-2737
Fax: (949) 654-2740

The provider's authorized official is Christopher Jordan .
The authorized official title is Owner/dentist and has the following contact phone number (949) 654-2737.

The enumeration date for this NPI number is 9/13/2022 and was last updated on 12/29/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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