| Hugh F. Jordan, D.d.s., P.c. | |
|
401 Durden St Vidalia GA 30474-4600 | |
| (912) 537-7211 | |
| (912) 537-1011 |
| Full Name | Hugh F. Jordan, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 Durden St, Vidalia, Georgia |
| Authorized Official Name and Position | Hugh Frederick Jordan (PRESIDENT) |
| Authorized Official Contact | 9125377211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hugh F. Jordan, D.d.s., P.c. 401 Durden St Vidalia GA 30474-4600 Ph: (912) 537-7211 | Hugh F. Jordan, D.d.s., P.c. 401 Durden St Vidalia GA 30474-4600 Ph: (912) 537-7211 |
| NPI Number | 1871756601 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871756601 | NPI | - | NPPES |
| 00089702B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8514 (Georgia) | Primary |
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Dental Center Of Vidalia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 East First Street, Vidalia, GA 30474 Phone: 912-537-7048 | |
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Toombs County Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Maple Dr, Vidalia, GA 30474 Phone: 912-538-7899 | |
East Georgia Healthcare Center, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 118 Alice Coleman Dr, Vidalia, GA 30474 Phone: 912-537-6565 Fax: 912-537-6161 | |
Darby Dental Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Jackson St, Vidalia, GA 30474 Phone: 912-537-3377 Fax: 912-538-7010 |