Jordan M. Wirth, DDS

Dentist · Saint Cloud, FL

Individual Active NPI

NPI number 1467025684

Practice location

2301 Old Canoe Creek Rd
Saint Cloud, FL 34772-7706
Phone
(321) 805-4890

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NPI record

NPI
1467025684
Entity type
Individual (Type 1)
Enumeration date
July 24, 2021
Last updated
July 24, 2021
Certified
July 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN26357 FL

About Dr. Wirth

Jordan M. Wirth, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2301 Old Canoe Creek Rd, Saint Cloud, FL 34772-7706. The NPI number 1467025684 was assigned on July 24, 2021 and the record was last updated on July 24, 2021.

Dr. Wirth lists a license in the registry: #DN26357 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordan M. Wirth, DDS?

The NPI number is 1467025684.

What is the phone number of Dr. Wirth?

The phone number listed for the practice location is (321) 805-4890.

Where is Dr. Wirth located?

2301 Old Canoe Creek Rd, Saint Cloud, FL 34772-7706.

What is the taxonomy code for Dr. Wirth?

The primary taxonomy code is 122300000X – Dentist.

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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