DR. ANDREW D JORDAN (NPI# 1285711572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285711572 |
| Entity Type | Individual |
| Full Name | DR. ANDREW D JORDAN |
| Credential | DDS |
| Practice Address |
519 N Plum St Pontiac IL 61764-1818 |
| Mailing Address |
2216 Bella Fiore Ln Pontiac IL 61764-3623 |
| Practice Telephone | 8158446184 |
| Practice Fax Number | 8158441071 |
| Mailing Telephone | 8158442723 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366871477 | Andrew Jordan | Case Manager/Care Coordinator | 1011 Lake Shore Dr Ste 618, Lake Charles, LA 70601-9419 | 2013-11-08 |
| 1679772180 | Andrew Jordan | Dentist | 5841 Snider Road, Mason, OH 45040 | 2007-07-13 |
| 1649302860 | Andrew B Jordan Jr. | Dentist | 1405 S John Redditt Dr, Lufkin, TX 75904-4811 | 2007-03-12 |
| 1669036885 | Andrew Jordan | Behavior Technician | 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 | 2019-04-23 |
| 1851804348 | Andrew Jordan | Chiropractor | 1545 Broadway # 1a, San Francisco, CA 94109-2539 | 2017-11-07 |
| 1194178871 | Andrew Jordan | Dentist | 215 Commerce St, Greenville, NC 27858-5029 | 2016-07-19 |
| 1326397548 | Andrew M Jordan | Case Manager/Care Coordinator | 3621 N Kelley Ave, Suite 100, Oklahoma City, OK 73111-4520 | 2012-09-04 |
| 1992723563 | Andrew A Jordan | Ophthalmology | 1717 University Dr S, Fargo, ND 58103-4939 | 2006-07-18 |
| 1407827926 | Andrew Monnoyer Jordan | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2006-02-01 |
| Street Address |
519 N PLUM ST |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619946878 | Associated Dentists, PC | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2006-03-17 |
| 1558986547 | Nadah Tlemat | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2020-06-15 |
| 1659863520 | Angela Leigh Bess | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2018-06-05 |
| 1356727721 | Addison Lentz | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2015-08-07 |
| 1255612123 | Smitha N Bhandary | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2011-09-06 |
| 1457438731 | James A Day | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2006-11-01 |
| 1851478317 | Brian R Rotsch | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2006-11-01 |
| 1467539734 | Bruce E Unterman | Dentist | 519 N Plum St, Pontiac, IL 61764-1818 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| 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 |
|---|---|---|---|---|
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1639519291 | A1 Family Dentistry of Pontiac,plc | Dentist | 1018 Joslyn Ave, Pontiac, MI 48340-2929 | 2013-06-27 |
| 1487941506 | Sabrina Rita Shaouni | Dentist | 1620 N Perry St, Suite 1, Pontiac, MI 48340-3310 | 2011-07-10 |
| 1548561624 | Ryan Jason Carley | Dentist | 1521 W Reynolds St, Pontiac, IL 61764-9673 | 2010-11-05 |
| 1841335221 | James W Chang | Dentist | 1472 Baldwin Ave, Pontiac, MI 48340-1102 | 2007-02-21 |
| 1396812269 | Siran Salah Raouf | Dentist | 775 Baldwin Ave, Suite C, Pontiac, MI 48340-2576 | 2006-11-29 |
| 1386714632 | Rita Rapheal Marroghi | Dentist | 683 W Huron St, Pontiac, MI 48341-1522 | 2006-11-08 |
| 1528138492 | Maha Karmo | Dentist | 667 N Martin Luther King Blvd, Pontiac, MI 48342 | 2006-11-08 |
| 1174693048 | Nezih Meikha Jajou Bachuri | Dentist | 667 N Martin Luther King Blvd., Pontiac, MI 48342 | 2006-11-08 |
| 1164502886 | Terrence Wayne Haynes | Dentist | 861 Joslyn, Pontiac, MI 48340-2919 | 2006-10-17 |
| Find all providers in PONTIAC | ||||
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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.