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Search › California › 106S00000X

Jordan Blackwell

NPI 1861046690 · on the registry since 2019 · sole proprietor

Practice

Address
730 Sunrise Ave
Roseville, CA 95661
Phone
(916) 773-0211
Organisation at this address
Kenworthy Dental Corp
Vu Dental Corporation
Oral Surgery Office Inc
David Scott Dental Corp
Oral Surgery Office, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-30

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 California