JORDAN D HAEDT DDS LLC NPI 1497269963

NPI Information

  • NPI: 1497269963
  • Provider Name: JORDAN D HAEDT DDS LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 514 DELAWARE ST
    HIAWATHA, KS
    ZIP 66434
  • Phone: (785) 742-2165

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NPI Details

JORDAN D HAEDT DDS LLC is a general practice dentist in Hiawatha, KS. 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 D HAEDT DDS LLC NPI is 1497269963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

514 DELAWARE ST
HIAWATHA, KS
ZIP 66434-118
Phone: (785) 742-2165

The provider's authorized official is Jordan Danell Haedt .
The authorized official title is Dentist Owner and has the following contact phone number (785) 742-2165.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 6/16/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice61189KANSASYes

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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