DR. JORDAN WADE ARDOIN (NPI# 1669024063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669024063 |
| Entity Type | Individual |
| Full Name | DR. JORDAN WADE ARDOIN |
| Credential | DDS |
| Practice Address |
4741 Buffalo Gap Rd Abilene TX 79606-3304 |
| Mailing Address |
4510 Crosley Ln Abilene TX 79606-4931 |
| Practice Telephone | 3254375284 |
| Mailing Telephone | 9152619837 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 35301 | TX | Dental Providers |
| Street Address |
4741 BUFFALO GAP RD |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675767 | Cheryl Corpuz Johnson | Dentist | 4741 Buffalo Gap Rd, Abilene, TX 79606-3375 | 2005-11-08 |
| 1558856328 | Holly Ardoin | Dentist | 4741 Buffalo Gap Rd, Abilene, TX 79606-3304 | 2018-06-25 |
| 1952740409 | Paul Ray Lambert IIi | Dentist | 4741 Buffalo Gap Rd, Abilene, TX 79606-3304 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903777 | Clifford Joseph Bautista | Dentist | 5134 Spring Creek Rd, Abilene, TX 79602-7044 | 2020-08-21 |
| 1598326712 | Sara B Touchton | Dentist | 6521 Peppergrass Ln, Abilene, TX 79606-4819 | 2019-06-27 |
| 1811366214 | Farhan Khan | Dentist | 3882 S Clack St, Abilene, TX 79606-2711 | 2015-09-16 |
| 1255735882 | Thomas Stewardson | Dentist | 12071 Fm 3522, Robertson Dental Clinic, Abilene, TX 79601-8749 | 2014-10-10 |
| 1235532508 | Joel Baldwin Alexander | Dentist | 13055 Fm 3522, Abilene, TX 79601-8759 | 2014-10-01 |
| 1346529807 | Vinutha Kupperi | Dentist | 4509 Carrie Ann Ln, Abilene, TX 79606-2605 | 2011-08-15 |
| 1194013938 | Margaret Michalec Cowling | Dentist | 850 N 6th St Suite 235, Abilene-taylor County Public Health District, Abilene, TX 79604 | 2011-07-14 |
| 1568692937 | Amy Leigh Sojourner | Dentist | 3109 S 27th St, Abilene, TX 79605-6239 | 2009-07-20 |
| 1811108806 | Brian Toogood | Dentist | 3409 S 14th St, Ste. 110, Abilene, TX 79605-4957 | 2007-05-24 |
| 1902021660 | William Mark Sivley | Dentist | 3409 S 14th St Ste 110, Abilene, TX 79605-4956 | 2007-04-16 |
| Find all providers in ABILENE | ||||
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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.