Thomas Jordan, DDS

NPI 1578803706 · on the registry since 2013 · sole proprietor

Practice

Address: 346 Fort Zumwalt Sq
O Fallon, MO 63366
Phone: (636) 978-6400
Fax: (636) 980-1125
Organisation at this address: Blake Ferando Dmd Llc
Thomas D. Jordan, Dds, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-02-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri