CLIFTON JORDAN III (NPI# 1083662415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083662415 |
| Entity Type | Individual |
| Full Name | CLIFTON JORDAN III |
| Credential | DDS |
| Practice Address |
2197 Saint Matthews Rd Orangeburg SC 29118-2038 |
| Practice Telephone | 8035311601 |
| Mailing Telephone | 8035311601 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | SC4010 | SC | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
4010 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX4010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| Street Address |
2197 SAINT MATTHEWS RD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871779413 | Edisto Dental Associates LLC | Dentist | 2197 Saint Matthews Rd, Orangeburg, SC 29118-2038 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| 1659609147 | Samuel L Lambrecht | Dentist | 895 Summers Ave, Orangeburg, SC 29115-4852 | 2009-11-23 |
| 1972723815 | Jeremiah Morris Alston Jr. | Dentist | 1105 Cook Rd, Orangeburg, SC 29118-8204 | 2007-04-25 |
| 1962548297 | Roger Thomas Brown | Dentist | 3310 Magnolia St., Orangeburg, SC 29115-1466 | 2007-01-30 |
| 1043360175 | Jimmy L Gardner | Dentist | 161 Elliott Street, Orangeburg, SC 29115 | 2007-01-11 |
| 1538231253 | Evan M Kurtz | Dentist | 523 Route 303, Orangeburg, NY 10962-1316 | 2006-11-15 |
| 1962571687 | Mona Tw Ellis | Dentist | 1289 Boulevard St, Orangeburg, SC 29115-3401 | 2006-11-07 |
| 1528174695 | David R Hutto | Dentist | 1380 Park St, Orangeburg, SC 29115-4880 | 2006-08-22 |
| 1972553881 | Marian Mitchell Oliver Corporation | Dentist | 939 John C. Calhoun Drive, Orangeburg, SC 29115 | 2006-05-11 |
| 1417370933 | Dr. David R. Hutto Dmd | Dentist | 1380 Park St, Orangeburg, SC 29115-4880 | 2014-02-04 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.