Jordan, Lisa M

Jordan, Lisa M is an individual health care provider with primary practice located at 106 Bloomfield Ave , Windsor CT 06095-2813. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jordan, Lisa M can be contacted via phone (860) 688-2679.

Contact Information

Primary practice address
106 Bloomfield Ave Windsor CT 06095-2813
Phone: (860) 688-2679
Fax: (860) 688-3209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 007567 Connecticut

Profile Details

NPI number 1396090965
LBN Legal business name Jordan, Lisa M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2012
Last updated Jul 19th, 2012 - about 12 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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