Ghiassi, Jordan

Ghiassi, Jordan is an individual health care provider with primary practice located at 2100 Calle De La Vuelta Unit E101 , Santa Fe NM 87505-4819. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Ghiassi, Jordan can be contacted via phone (505) 988-5752.

Contact Information

Primary practice address
2100 Calle De La Vuelta Unit E101 Santa Fe NM 87505-4819
Phone: (505) 988-5752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD4342 New Mexico
Dental Providers / Periodontics 1223P0300X DD4342 New Mexico

Profile Details

NPI number 1053795112
LBN Legal business name Ghiassi, Jordan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Jan 11th, 2021 - about 3 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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