Jordan, Andrea L

Jordan, Andrea L is an individual health care provider with primary practice located at 895 7Th St E , Saint Paul MN 55106. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist. Dental Providers / Dental Therapist is her primary health care specialty. Jordan, Andrea L can be contacted via phone (651) 602-7500.

Contact Information

Primary practice address
895 7Th St E Saint Paul MN 55106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H5837 Minnesota
Dental Providers / Dental Therapist 125J00000X DT28 Minnesota

Profile Details

NPI number 1912331265
LBN Legal business name Jordan, Andrea L
Credentials A.D.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2013
Last updated Jun 21st, 2018 - about 6 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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