Thomas D. Jordan, Dds, Pc Valid NPI
Organization · General Practice Dentistry · O Fallon, MO
- NPI
- 1700932464
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 015009 (MO)
- Enumerated
- 2007-01-26
- Last updated
- 2012-06-27
Practice location
346 Fort Zumwalt Sq
O Fallon, MO 63366-3065
(636) 978-6400