| Jordan Dental Care, P.a. | |
|
224 Broadway St S Jordan MN 55352-1557 | |
| (952) 492-2021 | |
| (952) 492-6505 |
| Full Name | Jordan Dental Care, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 224 Broadway St S, Jordan, Minnesota |
| Authorized Official Name and Position | Elizabeth M Thelemann-zuniga (OWNER-PRESIDENT) |
| Authorized Official Contact | 9524922021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Dental Care, P.a. 224 Broadway St S Jordan MN 55352-1557 Ph: (952) 492-2021 | Jordan Dental Care, P.a. 224 Broadway St S Jordan MN 55352-1557 Ph: (952) 492-2021 |
| NPI Number | 1508086455 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508086455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11804 (Minnesota) | Primary |
Open Door Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Broadway St S, Jordan, MN 55352 Phone: 507-388-2120 | |
Jordan Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 El Dorado Drive, Jordan, MN 55352 Phone: 952-492-2021 Fax: 952-492-6505 |