Jordan & Young Dental. L.l.c. | |
106 Bloomfield Ave Windsor CT 06095-2813 | |
(860) 688-2679 | |
(860) 688-3209 |
Full Name | Jordan & Young Dental. L.l.c. |
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Speciality | Dentist - General Practice |
Location | 106 Bloomfield Ave, Windsor, Connecticut |
Authorized Official Name and Position | Lisa M Jordan (OWNER/DENTIST) |
Authorized Official Contact | 8606882679 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jordan & Young Dental. L.l.c. 106 Bloomfield Ave Windsor CT 06095-2813 Ph: (860) 688-2679 | Jordan & Young Dental. L.l.c. 106 Bloomfield Ave Windsor CT 06095-2813 Ph: (860) 688-2679 |
NPI Number | 1346233061 |
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Provider Enumeration Date | 08/28/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1346233061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 007567 (Connecticut) | Primary |
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