JORDAN FREEARK DDS NPI 1508268699

NPI Information

  • NPI: 1508268699
  • Provider Name: JORDAN FREEARK, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 674 BOULEVARD DE FRANCE
    PARRIS ISLAND, SC
    ZIP 29905
  • Phone: (843) 228-2402

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NPI Details

Jordan Freeark, DDS is an oral and maxillofacial surgery dentist in Parris Island, SC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jordan Freeark, DDS NPI is 1508268699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

674 BOULEVARD DE FRANCE
PARRIS ISLAND, SC
ZIP 29905
Phone: (843) 228-2402

The enumeration date for this NPI number is 9/19/2014 and was last updated on 8/14/2024.

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
11223S0112XDentistOral and Maxillofacial Surgery64081CALIFORNIAYes

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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