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THOMAS ANDREW JORDAN D.D.S
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1932157211
Individual Registrant: THOMAS ANDREW JORDAN D.D.S
Gender: M
Gender: M
Location and contact information for practice:
CMR 402 APO AE 09180 AVE LANDSTUHL DENTAL ACTIVITY APO AE 09180, NY 09180 US
Tel: 904-471-7781 Fax: --
Tel: 904-471-7781 Fax: --
Contact information for business:
APO AE 09180 APO AE 09180, NY 09180 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1932157211
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | TN | 0000003298 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
