Thomas D. Jordan, DDS, PC

General Practice Dentistry · O Fallon, MO

Organization Active NPI

NPI number 1700932464

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
1700932464
Entity type
Organization (Type 2)
Enumeration date
January 26, 2007
Last updated
June 27, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 015009 MO

Authorized official

Name
Dr. Thomas Jordan, DDS
Title
Officer
Phone
(636) 978-6400

Other names

  • DawnDENTAL Centers

About Thomas D. Jordan, DDS, PC

Thomas D. Jordan, DDS, PC is a healthcare organization 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 1700932464 was assigned on January 26, 2007 and the record was last updated on June 27, 2012.

Thomas D. Jordan, DDS, PC lists a license in the registry: #015009 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Thomas Jordan, DDS, Officer.

Frequently asked questions

What is the NPI number of Thomas D. Jordan, DDS, PC?

The NPI number is 1700932464.

What is the phone number of Thomas D. Jordan, DDS, PC?

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

Where is Thomas D. Jordan, DDS, PC located?

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

What is the taxonomy code for Thomas D. Jordan, DDS, PC?

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 →