DR. PATRICK M JORDAN (NPI# 1679709612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679709612 |
| Entity Type | Individual |
| Full Name | DR. PATRICK M JORDAN |
| Credential | D.D.S. |
| Practice Address |
2825 S Main St Maryville MO 64468-3605 |
| Practice Telephone | 6605828601 |
| Practice Fax Number | 6605828630 |
| Mailing Telephone | 6605828601 |
| Mailing Fax Number | 6605828630 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2010-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2009013221 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922425487 | Patrick Jordan | Podiatrist | 110 Harden Pkwy Ste 101, Salinas, CA 93906 | 2014-03-23 |
| 1659510816 | Patrick Burgermeister Jordan | Massage Therapist | 1175 Ne Mcwilliams Rd, B, Bremerton, WA 98311-3138 | 2009-02-11 |
| 1447209663 | Patrick M Jordan | Emergency Medicine | 2 Greenwood Dr, Suite C, Hilton Head, SC 29928-4538 | 2006-05-06 |
| 1821561374 | Patrick J Jordan | Case Manager/Care Coordinator | 2845 Bell St, Zanesville, OH 43701-1720 | 2019-01-08 |
| 1104880913 | Patrick J Jordan | Anesthesiology | 201 E Sample Rd, C/o North Broward Medical Center, Deerfield Beach, FL 33064-3502 | 2006-04-17 |
| Street Address |
2825 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463334 | Thomas Spencer Jackson | Dentist | 1507 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2018-10-23 |
| 1669801734 | Patrick Huelsmann | Dentist | 2933 Maryville Rd, Maryville, IL 62062-5400 | 2013-11-08 |
| 1447545975 | George Albert Hall | Dentist | 315 Whitecrest Drive, Maryville, TN 37801-3889 | 2011-06-13 |
| 1386936011 | Compass Dental Group, LLC | Dentist | 231 E Summit Dr, Maryville, MO 64468-3617 | 2011-05-13 |
| 1801116272 | Crestview Dental Care, P.C. | Dentist | 1850 Crest Road, Maryville, TN 37804-4305 | 2010-06-08 |
| 1447412630 | Robert Ramsey | Dentist | 331 W Broadway Ave, Maryville, TN 37801-4707 | 2008-06-28 |
| 1760652812 | Ronald W Spencer | Dentist | 207 Southdowne Dr, Maryville, TN 37801-3747 | 2008-03-05 |
| 1679786578 | Leon Charles Yount | Dentist | 527 W Lamar Alexander Pkwy, Maryville, TN 37801-4701 | 2007-05-07 |
| 1326260647 | Dental Professionals of Illinois, P.C. | Dentist | 4971 S. State Rte 159, Maryville, IL 62062 | 2007-05-03 |
| 1336368885 | John M. Beatty | Dentist | 2717 N Center St, Maryville, IL 62062-5623 | 2007-04-24 |
| Find all providers in MARYVILLE | ||||
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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.