Jordan, Shawn Francis
Jordan, Shawn Francis is an sole proprietor health care provider with primary practice located at 125 Grand Island Blvd , Tonawanda NY 14150-6603. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Jordan, Shawn Francis can be contacted via phone (716) 695-3636.Contact Information
Primary practice address
125 Grand Island Blvd
Tonawanda NY 14150-6603
Phone: (716) 695-3636
Fax: (716) 264-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 053904 | New York |
| Dental Providers / Dentist | 122300000X | 053904 | New York |
Profile Details
| NPI number | 1386809333 |
|---|---|
| LBN Legal business name | Jordan, Shawn Francis |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2008 |
| Last updated | Jul 17th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386809333 | NPPES |
| New York | MEDICAID | 05227936 |
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