Andrew Jordan, DMD, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ANDREW JORDAN, DMD, PLLC

Practice address

1025 WH Smith Blvd Ste 104
Greenville, NC 27834-5278

Phone

(252) 321-2070

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew Browne Jordan, DMDNPI 1194178871

Title

Owner

Phone

(252) 756-6626

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Jordan, D.M.D.

  • Dentist
  • Greenville, NC
  • NPI 1194178871
  NPD Authorized official
• Marian Alexandra Wynne, DMD

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1164914222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1679165393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-756-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WH SMITH BLVD STE 104",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345278",
            "telephone_number": "252-321-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW JORDAN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BROWNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-756-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meshka Kamal Anderson, MD
• Sedreka Symone Anderson
• Toni Renee Anderson
• Tyler Lee Anderson
• Andrew B. Jordan, DMD, P.a. (Andrew B. Jordan, DMD)
• Tamara Masters Andrews-Clark, MS, CCC-SLP
• Adam Kirby Andrews
• Ashley Lauren Andrews, MS, LCMHC, LCAS, NCC
• Brenda Jackson Andrews, RRT
• Caroline Andrews, MS, OTR/L

• Dentist in Greenville, NC
• Providers in Greenville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.