Clint R Jordan, DDS is a
Dentist - General Practice based in Merna, Nebraska. Clint R Jordan is licensed to practice in Nebraska (license number 6837) and his current practice location is
130 West Old Highway 2, Merna, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(308) 643-2255.
NPI number for Clint R Jordan is 1215260286 and his current mailing address is 44080 Dr 796, Broken Bow, Nebraska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215260286.
Healthcare Provider's Profile
| Full Name | Clint R Jordan |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 130 West Old Highway 2, Merna, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215260286
- Provider Enumeration Date: 09/09/2009
- Last Update Date: 09/22/2011
Medical Identifiers
Medical identifiers for Clint R Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215260286 | NPI | - | NPPES |
| 10026061400 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 6837 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clint R Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clint R Jordan, DDS
44080 Dr 796,
Broken Bow, NE 68822-4256
Ph: () - | Clint R Jordan, DDS
130 West Old Highway 2,
Merna, NE 68856
Ph: (308) 643-2255 |
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