| Jordan Gaddis D.d.s. A Professional Dental Corporation | |
|
2835 Eastern Ave Ste 3 Sacramento CA 95821-5400 | |
| (916) 486-8558 | |
| Not Available |
| Full Name | Jordan Gaddis D.d.s. A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2835 Eastern Ave Ste 3, Sacramento, California |
| Authorized Official Name and Position | Jordan Gaddis (DENTIST) |
| Authorized Official Contact | 9162066902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Gaddis D.d.s. A Professional Dental Corporation 2835 Eastern Ave Ste 3 Sacramento CA 95821-5400 Ph: (916) 486-8558 | Jordan Gaddis D.d.s. A Professional Dental Corporation 2835 Eastern Ave Ste 3 Sacramento CA 95821-5400 Ph: (916) 486-8558 |
| NPI Number | 1790263887 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790263887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 101617 (California) | Primary |
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