Jordan, Thomas David
Jordan, Thomas David is an sole proprietor health care provider with primary practice located at 346 Fort Zumwalt Sq , O Fallon MO 63366-3065. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jordan, Thomas David can be contacted via phone (636) 978-6400.Contact Information
Primary practice address
346 Fort Zumwalt Sq
O Fallon MO 63366-3065
Phone: (636) 978-6400
Fax: (636) 980-1125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15009 | Missouri |
Profile Details
| NPI number | 1578803706 |
|---|---|
| LBN Legal business name | Jordan, Thomas David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2013 |
| Last updated | Feb 25th, 2013 - 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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