DR. Thomas David Jordan, DDS

NPI #1578803706 in O Fallon, Missouri

Provider Information

NPI Number
1578803706
Entity Type
Individual
Name
DR. Thomas David Jordan, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 25, 2013
Last Updated
Feb 25, 2013

Practice Location

Address
346 FORT ZUMWALT SQ
ZIP Code
63366-3065
Phone
(636) 978-6400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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