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JORDAN LEDGER DDS PC NPI 1841740149


NPI Information

NPI: 1841740149
Provider Name: JORDAN LEDGER, DDS, PC

Doing Business As: CHICAGO ORAL SURGERY & IMPLANT CENTER

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1229 W WASHINGTON BLVD
SUITE 220
CHICAGO, IL
ZIP 60607
Phone: (312) 620-1926
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JORDAN LEDGER, DDS, PC is an oral and maxillofacial surgery dentist in Chicago, IL. 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 LEDGER, DDS, PC NPI is 1841740149. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chicago Oral Surgery & Implant Center.

The provider's business location address is:

1229 W WASHINGTON BLVD
SUITE 220
CHICAGO, IL
ZIP 60607-132
Phone: (312) 620-1926

The provider's authorized official is Jordan Ledger .
The authorized official title is Owner/oral Surgeon and has the following contact phone number (319) 321-1394.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/11/2016.


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
11223S0112XDentistOral and Maxillofacial Surgery019028719ILLINOISYes

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: 4/28/2024

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