Jordan Endres, DDS

General Practice Dentistry · Roseburg, OR

Individual Active NPI

NPI number 1083073522

Practice location

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone
(541) 672-9596

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NPI record

NPI
1083073522
Entity type
Individual (Type 1)
Enumeration date
February 12, 2016
Last updated
April 10, 2023
Certified
April 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D10432 OR
Student in an Organized Health Care Education/Training Program 390200000X RR60578878 WA

Mailing address

1116 SE Terrace Dr
Roseburg, OR 97470-4360
Phone
(480) 286-1188

About Dr. Endres

Jordan Endres, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 150 NE Kenneth Ford Dr, Roseburg, OR 97470-1042. The NPI number 1083073522 was assigned on February 12, 2016 and the record was last updated on April 10, 2023.

Dr. Endres lists 2 licenses in the registry: #D10432 (OR) for General Practice Dentistry; #RR60578878 (WA) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordan Endres, DDS?

The NPI number is 1083073522.

What is the phone number of Dr. Endres?

The phone number listed for the practice location is (541) 672-9596.

Where is Dr. Endres located?

150 NE Kenneth Ford Dr, Roseburg, OR 97470-1042.

What is the taxonomy code for Dr. Endres?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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