Jordan, Amanda Rose

Jordan, Amanda Rose is an individual health care provider with primary practice located at 19 Pettingill St , Lewiston ME 04240-5903. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jordan, Amanda Rose can be contacted via phone (207) 513-1111.

Contact Information

Primary practice address
19 Pettingill St Lewiston ME 04240-5903
Phone: (207) 513-1111
Fax: (207) 513-1197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDH4147 Maine

Profile Details

NPI number 1114433091
LBN Legal business name Jordan, Amanda Rose
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2017
Last updated Dec 14th, 2017 - about 8 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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