BILL JORDAN DMD PC NPI 1790942779

NPI Information

  • NPI: 1790942779
  • Provider Name: BILL JORDAN, DMD, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 18789 SW BOONES FERRY RD
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 692-6535

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NPI Details

BILL JORDAN, DMD, PC is a dental clinic center in Tualatin, OR. BILL JORDAN, DMD, PC NPI is 1790942779. The provider is registered as an organization entity type.

The provider's business location address is:

18789 SW BOONES FERRY RD
TUALATIN, OR
ZIP 97062-412
Phone: (503) 692-6535
Fax: (503) 691-2831

The provider's authorized official is Bill Jordan .
The authorized official title is Owner and has the following contact phone number (503) 692-6535.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

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
1261QD0000XClinic/CenterDental6424OREGONYes

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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