Benjamin Slader Jordan, DMD
General Practice Dentistry · Louisville, KY
Practice location
4420 Dixie Hwy Ste 110Louisville, KY 40216-2986
- Phone
- (502) 305-2534
NPI record
- NPI
- 1598484768
- Entity type
- Individual (Type 1)
- Enumeration date
- August 23, 2022
- Last updated
- September 13, 2024
- Certified
- September 13, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
11056 | KY |
| General Practice Dentistry | 1223G0001X |
DEN5005 | ME |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | ME |
Mailing address
75 Stanford St Apt aSouth Portland, ME 04106-1548
Other practice locations (1)
- 11 Winners Cir, Topsham, ME 04086-1727 · (207) 725-1755
About Dr. Jordan
Benjamin Slader Jordan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986. The NPI number 1598484768 was assigned on August 23, 2022 and the record was last updated on September 13, 2024.
Dr. Jordan lists 2 licenses in the registry: #11056 (KY) for General Practice Dentistry; #DEN5005 (ME) 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 Benjamin Slader Jordan, DMD?
The NPI number is 1598484768.
What is the phone number of Dr. Jordan?
The phone number listed for the practice location is (502) 305-2534.
Where is Dr. Jordan located?
4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986.
What is the taxonomy code for Dr. Jordan?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 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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