Jordan, Jane J

Jordan, Jane J is an individual health care provider with primary practice located at 800 Rose Street, Room D104 University Of Kentucky College Of Dentistry, Lexington KY 40536-0297. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Jordan, Jane J can be contacted via phone (859) 323-5996.

Contact Information

Primary practice address
800 Rose Street, Room D104 University Of Kentucky College Of Dentistry Lexington KY 40536-0297
Phone: (859) 323-5996
Fax: (859) 257-1847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6144 Kentucky
Dental Providers / General Practice 1223G0001X 6144 Kentucky

Profile Details

NPI number 1164569968
LBN Legal business name Jordan, Jane J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 27th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164569968 NPPES
Kentucky MEDICAID 60061447

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