Jordan Berry

NPI 1891145975 · on the registry since 2016 · sole proprietor

Practice

Address: 209 N Missouri St
Macon, MO 63552
Phone: (660) 395-5045
Organisation at this address: Northeast Missouri Health Council, Inc
Northeast Missouri Health Council, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Dental Hygienist
124Q00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-06-20

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