Jordan, Teresa Danielle
Jordan, Teresa Danielle is an individual health care provider with primary practice located at 2646 Gresham Rd Se , Atlanta GA 30316-4148. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Jordan, Teresa Danielle can be contacted via phone (404) 212-9060.Contact Information
Primary practice address
2646 Gresham Rd Se
Atlanta GA 30316-4148
Phone: (404) 212-9060
Fax: (404) 212-9020
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | DN012645 | Georgia |
Profile Details
NPI number | 1780888693 |
---|---|
LBN Legal business name | Jordan, Teresa Danielle |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2007 |
Last updated | Feb 20th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780888693 | NPPES |
Georgia | MEDICAID | 108964405 |
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