Thomas D. Jordan, Dds, PC

NPI #1700932464 in O Fallon, Missouri

Provider Information

NPI Number: 1700932464
Entity Type: Organization
Organization Name: Thomas D. Jordan, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2007
Last Updated: Jun 27, 2012

Practice Location

Address: 346 FORT ZUMWALT SQ
City: O Fallon
State: Missouri
ZIP Code: 63366-3065
Phone: (636) 978-6400

Authorized Official

Name: DR. THOMAS JORDAN, DDS
Title: OFFICER
Phone: (636) 978-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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