Jayme Jordan, D.T.

NPI #1366992208 in Springfield, Illinois

Provider Information

NPI Number: 1366992208
Entity Type: Individual
Name: Jayme Jordan, D.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: D.T.
Enumeration Date: Oct 4, 2016
Last Updated: Oct 4, 2016

Practice Location

Address: 2409 WESTCHESTER BLVD
City: Springfield
State: Illinois
ZIP Code: 62704
Phone: (217) 620-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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