DR. MARTIN EUGENE JORDAN (NPI# 1386634350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386634350 |
| Entity Type | Individual |
| Full Name | DR. MARTIN EUGENE JORDAN |
| Credential | D.D.S. |
| Practice Address |
300 Yoakum Pkwy Alexandria VA 22304-4060 |
| Practice Telephone | 2162108200 |
| Mailing Telephone | 2162108200 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30019465 | OH | Dental Providers |
| Street Address |
300 YOAKUM PKWY |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-4060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770022261 | Hector Bermudez | Specialist/Technologist, Other | 300 Yoakum Pkwy, Alexandria, VA 22304-4052 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| 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 |
|---|---|---|---|---|
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1588120166 | Adams Dental Pplc | Dentist | 111 S Public Sq, Alexandria, TN 37012-2140 | 2019-02-19 |
| 1174023667 | Smile Doctors Virginia, Pllc | Dentist | 4605 Pinecrest Office Park Dr Ste B, Alexandria, VA 22312-1442 | 2018-02-20 |
| 1669902615 | Fawwaz Faiz Alotaibi | Dentist | 6161 Edsall Rd Apt 1608, Alexandria, VA 22304-4141 | 2017-06-13 |
| 1326595216 | Lester Mobile Dentistry | Dentist | 248 Belleau Wood Blvd, Alexandria, LA 71303-2499 | 2016-09-08 |
| 1922552132 | Hilton Dental, Inc. | Dentist | 3750 Parliament Dr, Alexandria, LA 71303-3011 | 2016-08-05 |
| 1538510599 | Jennifer Park | Dentist | 5750 Dow Ave Apt 241, Alexandria, VA 22304-4071 | 2016-06-30 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.