Jordan Diamond, DMD is a
Oral & Maxillofacial Surgery based in Spokane, Washington. Jordan Diamond is licensed to practice in Washington (license number DE60824201) and his current practice location is
2204 E 29th Ave Ste 104, Spokane, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 321-1404.
NPI number for Jordan Diamond is 1295155455 and his current mailing address is 2204 E 29th Ave Ste 104, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295155455.
Healthcare Provider's Profile
| Full Name | Jordan Diamond |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 2204 E 29th Ave Ste 104, Spokane, Washington |
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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: 1295155455
- Provider Enumeration Date: 04/25/2014
- Last Update Date: 10/18/2024
Medical Identifiers
Medical identifiers for Jordan Diamond such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295155455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE60824201 (Washington) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DE60824201 (Washington) | 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. Jordan Diamond 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 |
|---|
Jordan Diamond, DMD
2204 E 29th Ave Ste 104,
Spokane, WA 99203-3961
Ph: (509) 321-1404 | Jordan Diamond, DMD
2204 E 29th Ave Ste 104,
Spokane, WA 99203
Ph: (509) 321-1404 |
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