| Jordan Family Dental Pllc | |
|
301 El Dorado Drive Jordan MN 55352 | |
| (952) 492-2021 | |
| (952) 492-6505 |
| Full Name | Jordan Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 301 El Dorado Drive, Jordan, Minnesota |
| Authorized Official Name and Position | Katie Marie Ferraz-souza (DENTIST / OWNER) |
| Authorized Official Contact | 9524922021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Family Dental Pllc 301 El Dorado Drive Jordan MN 55352 Ph: (952) 492-2021 | Jordan Family Dental Pllc 301 El Dorado Drive Jordan MN 55352 Ph: (952) 492-2021 |
| NPI Number | 1255024295 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 05/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255024295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 Dental Care, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Broadway St S, Jordan, MN 55352 Phone: 952-492-2021 Fax: 952-492-6505 |