Thomas David Jordan, DDS

General Practice Dentistry · O Fallon, MO

Individual Active NPI

NPI number 1578803706

Practice location

346 Fort Zumwalt Sq
O Fallon, MO 63366-3065
Phone
(636) 978-6400
Fax
(636) 980-1125

Open in Google Maps

NPI record

NPI
1578803706
Entity type
Individual (Type 1)
Enumeration date
February 25, 2013
Last updated
February 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 15009 MO

About Dr. Jordan

Thomas David Jordan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 346 Fort Zumwalt Sq, O Fallon, MO 63366-3065. The NPI number 1578803706 was assigned on February 25, 2013 and the record was last updated on February 25, 2013.

Dr. Jordan lists a license in the registry: #15009 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas David Jordan, DDS?

The NPI number is 1578803706.

What is the phone number of Dr. Jordan?

The phone number listed for the practice location is (636) 978-6400.

Where is Dr. Jordan located?

346 Fort Zumwalt Sq, O Fallon, MO 63366-3065.

What is the taxonomy code for Dr. Jordan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

Other General Practice Dentistry providers in O Fallon

All General Practice Dentistry providers in O Fallon, MO →