Peterschmidt, Jordan

Peterschmidt, Jordan is an individual health care provider with primary practice located at 470 Glen Creek Rd Nw , Salem OR 97304-3060. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peterschmidt, Jordan can be contacted via phone (541) 905-3816.

Contact Information

Primary practice address
470 Glen Creek Rd Nw Salem OR 97304-3060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10308 Oregon

Profile Details

NPI number 1528444163
LBN Legal business name Peterschmidt, Jordan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2015
Last updated Aug 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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