| Scott Richard Jordan, DMD | |
|
201 S Paradise Ave, Middleton, ID 83644-5809 | |
| (208) 585-0048 | |
| (208) 466-5359 |
| Full Name | Scott Richard Jordan |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 201 S Paradise Ave, Middleton, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639866213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13346887-9923 (Utah) | Secondary |
| 122300000X | Dentist | D-5558 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Richard Jordan, DMD Po Box 9, Nampa, ID 83653-0009 Ph: (208) 467-4431 | Scott Richard Jordan, DMD 201 S Paradise Ave, Middleton, ID 83644-5809 Ph: (208) 585-0048 |
Ashley Clarence Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 S Paradise Ave, Middleton, ID 83644 Phone: 208-585-0048 Fax: 208-466-5359 | |
Dr. Philip Openshaw, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 201 S Paradise Ave, Middleton, ID 83644 Phone: 208-585-0048 Fax: 208-466-5359 | |
Dr. Aries J Ganir, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 W. Main Street, Middleton, ID 83644 Phone: 208-585-9200 |